Identify the cause of secondary amenorrhea without evident cause in the initial clinical evaluation. Amenorrhea due to contraceptive use Hypothalam...

Identify the cause of secondary amenorrhea without evident cause in the initial clinical evaluation.
Amenorrhea due to contraceptive use
Hypothalamic amenorrhea
Polycystic ovary syndrome
Ovarian failure
Hyperprolactinemia
The diagnosis of hypothalamic amenorrhea is made by the absence of bleeding after the progesterone test.
Polycystic ovary syndrome is suspected in the presence of irregular menstrual cycles, associated or not with overweight/obesity, with signs of hyperandrogenism.
Ovarian failure is correlated with other symptoms compatible with hypoestrogenism, such as hot flashes and loss of vaginal lubrication.
Hyperprolactinemia is suspected if there is a history of amenorrhea or irregular menstrual cycles, associated or not with galactorrhea.
a) Amenorrhea due to contraceptive use
b) Hypothalamic amenorrhea
c) Polycystic ovary syndrome
d) Ovarian failure
e) Hyperprolactinemia