Secondary amenorrhea
ICD-10 N91.1 is a billable code used to indicate a diagnosis of secondary amenorrhea.
Secondary amenorrhea is defined as the absence of menstruation for three consecutive cycles or for six months in women who have previously menstruated regularly. This condition can arise from various physiological and pathological factors, including hormonal imbalances, stress, significant weight loss or gain, excessive exercise, and underlying medical conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or pituitary tumors. Secondary amenorrhea can also be a consequence of lifestyle factors, such as the use of certain medications, contraceptives, or the impact of chronic illnesses. It is essential for healthcare providers to conduct a thorough evaluation to determine the underlying cause, which may involve hormonal testing, imaging studies, and a detailed patient history. Treatment options vary based on the etiology and may include lifestyle modifications, hormonal therapy, or addressing any underlying health issues. Understanding the multifactorial nature of secondary amenorrhea is crucial for effective management and restoration of normal menstrual function.
Detailed menstrual history, physical examination findings, and results of any diagnostic tests.
Patients presenting with missed periods, weight changes, or stress-related amenorrhea.
Ensure documentation reflects the timeline of amenorrhea and any associated symptoms.
Thorough evaluation of hormonal levels and potential endocrine disorders.
Patients with suspected hormonal imbalances or thyroid dysfunction presenting with amenorrhea.
Document any endocrine evaluations and their results to support the diagnosis.
Used for follow-up visits to discuss amenorrhea and treatment options.
Document the patient's history, examination findings, and treatment plan.
Obstetricians should ensure they capture all relevant details regarding menstrual history.
Primary amenorrhea refers to the absence of menstruation in individuals who have never menstruated, while secondary amenorrhea is the absence of menstruation for three cycles or six months in individuals who have previously menstruated.
