Secondary oligomenorrhea
ICD-10 N91.4 is a billable code used to indicate a diagnosis of secondary oligomenorrhea.
Secondary oligomenorrhea is characterized by infrequent menstrual periods, defined as cycles occurring more than 35 days apart, following a previously normal menstrual pattern. This condition can arise due to various factors, including hormonal imbalances, stress, significant weight changes, excessive exercise, and underlying medical conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders. In women with secondary oligomenorrhea, the menstrual irregularity may lead to challenges in conception, as ovulation may be sporadic or absent. The diagnosis typically involves a thorough medical history, physical examination, and laboratory tests to assess hormone levels and rule out other causes of menstrual irregularities. Treatment options may include lifestyle modifications, hormonal therapies, or addressing underlying health issues. Understanding the etiology of secondary oligomenorrhea is crucial for effective management and improving reproductive health outcomes.
Detailed menstrual history, physical examination findings, and results of hormonal assays.
Patients presenting with irregular menstrual cycles, infertility evaluations, and hormonal imbalance assessments.
Ensure documentation reflects the timeline of menstrual changes and any interventions undertaken.
Thorough evaluation of endocrine function, including thyroid and adrenal assessments.
Patients with suspected hormonal disorders contributing to oligomenorrhea.
Document all laboratory results and their implications for treatment.
Used when evaluating abnormal uterine bleeding associated with oligomenorrhea.
Indicate the reason for the biopsy and any prior treatments attempted.
Obstetricians should document the patient's menstrual history and any relevant findings.
Primary oligomenorrhea occurs when a woman has never had regular menstrual cycles, while secondary oligomenorrhea refers to the development of infrequent cycles after previously normal menstruation.
