How is amenorrhea diagnosed in girls and teens?
Diagnosis starts with a careful medical history, a physical exam and lab tests to detect any potential underlying hormone issues. In some cases, a pelvic exam and/or ultrasound is necessary.
Our care team will determine the best approach for each patient.
What to expect from an exam for amenorrhea
Determining the underlying cause of absent periods is important, and our team works to do just that. The most important aspects of a correct amenorrhea diagnosis are a detailed medical history, basic physical exam and lab testing.
Our care team will ask a number of questions relating to common amenorrhea symptoms such as menstrual cycles, weight loss and family medical history. A physical exam will include comparing weight and height to growth charts and checking other developmental markers. Lab tests are typically used to detect pregnancy or particular hormones. When necessary, we will perform an X-ray to establish bone age or a pelvic ultrasound to evaluate the uterus and ovaries.
If your daughter has never had a period before, it is important to look at the outside of the vagina. A complete, internal pelvic exam is not typically necessary.