Primary amenorrhea
ICD-10 N91.0 is a billable code used to indicate a diagnosis of primary amenorrhea.
Primary amenorrhea is defined as the absence of menstruation by the age of 15 in girls who have secondary sexual characteristics or by age 13 in girls without secondary sexual characteristics. This condition can arise from various underlying causes, including genetic disorders, hormonal imbalances, anatomical abnormalities, and chronic illnesses. The diagnosis of primary amenorrhea often involves a thorough clinical evaluation, including a detailed medical history, physical examination, and laboratory tests to assess hormonal levels and rule out conditions such as Turner syndrome, androgen insensitivity syndrome, or hypothalamic amenorrhea. Treatment options depend on the underlying cause and may include hormone replacement therapy, surgical interventions, or management of associated conditions. Understanding primary amenorrhea is crucial for addressing female reproductive health, as it can impact fertility and overall well-being.
Detailed history of menstrual cycles, physical examination findings, and results of hormonal assays.
Evaluation of adolescent girls presenting with delayed menarche or absence of menstruation.
Consideration of psychosocial factors and family history is essential for accurate diagnosis.
Thorough assessment of hormonal profiles and metabolic conditions.
Management of hormonal imbalances contributing to primary amenorrhea.
Endocrine evaluations may require collaboration with gynecologists for comprehensive care.
Used to evaluate hormonal levels in patients with primary amenorrhea.
Document the rationale for testing and results.
Endocrinologists may require additional tests to assess for underlying conditions.
Primary amenorrhea is diagnosed when menstruation has not occurred by age 15 in girls with secondary sexual characteristics or by age 13 in those without.
