Ovarian dysfunction
Chapter 4:Endocrine, nutritional and metabolic diseases
ICD-10 E28 is a billable code used to indicate a diagnosis of ovarian dysfunction.
Ovarian dysfunction encompasses a range of disorders affecting the ovaries, which can lead to irregularities in hormone production and menstrual cycles. This condition may arise from various endocrine disorders, including dysfunctions of the parathyroid, pituitary, and adrenal glands. Hormonal imbalances, such as elevated levels of prolactin or androgens, can disrupt normal ovarian function, leading to conditions like polycystic ovary syndrome (PCOS) or premature ovarian failure. The interplay between these endocrine glands is crucial, as they regulate the hypothalamic-pituitary-gonadal axis, which is essential for normal ovarian function. Symptoms may include irregular menstrual cycles, infertility, and signs of hyperandrogenism such as hirsutism or acne. Diagnosis often involves a combination of clinical evaluation, hormonal assays, and imaging studies. Treatment may include hormonal therapies, lifestyle modifications, or surgical interventions depending on the underlying cause of the dysfunction.
Detailed hormonal profiles, including LH, FSH, estradiol, and testosterone levels.
Patients presenting with amenorrhea, oligomenorrhea, or signs of hyperandrogenism.
Ensure all relevant endocrine evaluations are documented to support the diagnosis.
Menstrual history, physical examination findings, and any imaging studies performed.
Evaluation of infertility or menstrual irregularities in women of reproductive age.
Document any associated reproductive health issues to provide a comprehensive clinical picture.
Used to evaluate ovarian function in patients with menstrual irregularities.
Document the reason for testing and any relevant clinical findings.
Endocrinologists should ensure comprehensive hormonal panels are ordered.
Common causes include polycystic ovary syndrome (PCOS), premature ovarian failure, hyperprolactinemia, and adrenal disorders. Each of these conditions can lead to hormonal imbalances affecting ovarian function.
