Premature menopause
ICD-10 E28.31 is a billable code used to indicate a diagnosis of premature menopause.
Premature menopause, defined as menopause occurring before the age of 40, can result from various factors including genetic predisposition, autoimmune disorders, and endocrine gland dysfunction. The condition is characterized by the cessation of menstrual periods and a decline in estrogen production, leading to symptoms such as hot flashes, night sweats, mood changes, and vaginal dryness. Hormonal imbalances, particularly involving the ovaries, pituitary gland, and adrenal glands, play a significant role in the onset of premature menopause. Conditions such as Turner syndrome, autoimmune oophoritis, and certain genetic mutations can lead to ovarian failure, while disorders of the pituitary gland may disrupt the hormonal signals necessary for ovulation. Additionally, adrenal disorders can influence estrogen levels, further complicating the clinical picture. Accurate diagnosis often requires a thorough evaluation of hormone levels, including follicle-stimulating hormone (FSH) and estradiol, alongside a detailed patient history. Understanding the underlying causes is crucial for managing symptoms and addressing any associated health risks, such as osteoporosis and cardiovascular disease.
Detailed hormonal assessment results, patient history, and any relevant imaging studies.
Evaluation of patients with unexplained amenorrhea, hormonal imbalances, or symptoms of menopause at a young age.
Endocrinologists must ensure comprehensive documentation of all hormonal tests and any associated conditions.
Menstrual history, symptomatology, and any previous gynecological conditions.
Management of patients presenting with early menopause symptoms and counseling regarding fertility and hormone replacement therapy.
Gynecologists should document the patient's age at onset and any family history of premature menopause.
Used to confirm low estrogen levels in patients suspected of premature menopause.
Document the reason for testing and any relevant clinical findings.
Endocrinologists should ensure that the test results are correlated with clinical symptoms.
Premature menopause is defined as menopause occurring before the age of 40. It can occur due to various factors, including genetic conditions, autoimmune diseases, and certain medical treatments.