Primary oligomenorrhea
ICD-10 N91.3 is a billable code used to indicate a diagnosis of primary oligomenorrhea.
Primary oligomenorrhea is characterized by infrequent menstrual periods, typically defined as having cycles occurring at intervals greater than 35 days but less than six months. This condition can be a result of various underlying factors, including hormonal imbalances, stress, excessive exercise, or significant weight changes. It is essential to differentiate primary oligomenorrhea from secondary oligomenorrhea, which occurs in individuals who previously had regular menstrual cycles. Diagnosis often involves a thorough medical history, physical examination, and possibly laboratory tests to assess hormone levels. The condition can impact reproductive health and may be associated with conditions such as polycystic ovary syndrome (PCOS) or thyroid dysfunction. Management may include lifestyle modifications, hormonal treatments, or addressing any underlying conditions contributing to the irregularity. Understanding the implications of primary oligomenorrhea is crucial for healthcare providers, particularly in the context of female infertility and reproductive health.
Detailed menstrual history, physical examination findings, and any relevant laboratory results.
Patients presenting with irregular menstrual cycles, infertility evaluations, and hormonal imbalance assessments.
Ensure to document any lifestyle factors or underlying conditions that may contribute to oligomenorrhea.
Thorough evaluation of hormonal levels, including thyroid function tests and androgens.
Patients with suspected endocrine disorders affecting menstrual cycles.
Document any endocrine evaluations and treatment plans to support coding.
Used for follow-up visits regarding oligomenorrhea management.
Document the patient's menstrual history and any treatment changes.
Obstetricians should ensure comprehensive documentation of menstrual cycles.
Primary oligomenorrhea refers to infrequent menstrual cycles in individuals who have never had regular cycles, while secondary oligomenorrhea occurs in those who previously had regular cycles but have since experienced irregularity.
