What should be checked for secondary amenorrhea

For secondary amenorrhea, the priority should be to check pregnancy, hormone levels, thyroid function, and the health of the uterus and ovaries. Identifying the cause is the key. If amenorrhea lasts for more than 3 months, you need to seek medical attention in time to avoid delays in diagnosis and treatment.

Examination of secondary amenorrhea should exclude pregnancy. A urine pregnancy test or serum hCG test can quickly detect whether amenorrhea is caused by pregnancy. Next, hormone level tests, including follicle-stimulating hormone (FSH), luteinizing hormone (LH), estrogen (E2), prolactin (PRL), etc., are required to understand whether there is endocrine disorder or decreased ovarian function. Thyroid function tests (such as TSH and T3, T4) are helpful in screening for thyroid diseases, because thyroid dysfunction may cause amenorrhea. The doctor may use ultrasound to examine the structure of the uterus and ovaries to determine whether there are lesions, such as polycystic ovary syndrome (PCOS), endometrial lesions, or ovarian failure. Other examinations may involve cranial MRI or pituitary CT to rule out rare causes such as pituitary tumors.

Examination of secondary amenorrhea should exclude pregnancy. A urine pregnancy test or serum hCG test can quickly detect whether amenorrhea is caused by pregnancy. Next, hormone level tests, including follicle-stimulating hormone (FSH), luteinizing hormone (LH), estrogen (E2), prolactin (PRL), etc., are required to understand whether there is endocrine disorder or decreased ovarian function. Thyroid function tests (such as TSH and T3, T4) are helpful in screening for thyroid diseases, because thyroid dysfunction may cause amenorrhea. The doctor may use ultrasound to examine the structure of the uterus and ovaries to determine whether there are lesions, such as polycystic ovary syndrome (PCOS), endometrial lesions, or ovarian failure. Other examinations may involve cranial MRI or pituitary CT to rule out rare causes such as pituitary tumors.

In daily life, maintaining a regular schedule and a healthy diet can help reduce the impact of stress on menstruation. Proper weight control is particularly important for maintaining a normal endocrine system. If you find that amenorrhea persists and the symptoms are unclear, you should go to the gynecology or endocrinology department of the hospital as soon as possible to avoid the disease from causing lasting effects on fertility or overall health. Treatment needs to be carried out under the guidance of a professional doctor. Do not take medicine on your own or try folk remedies.