Diagnostic Tests for Empty Sella Syndrome
Empty Sella Syndrome Tests: Book Excerpts
Home Diagnostic Testing
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Empty Sella Syndrome Diagnosis: Book Excerpts
Diagnostic Tests for Empty Sella Syndrome: Online Medical Books
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Secondary Amenorrhea:
Diagnostic Approach
(Field Guide to Bedside Diagnosis)
Evaluation should always begin with a history and a urine hCG for pregnancy. On physical examination, attention should be paid to darkening of the areola, and evidence of estrogenization of the vagina.
Estrogen sufficiency can be assessed by observing a fern-like pattern of cervical mucous on a slide or by giving medroxyprogesterone for 5 days and looking for withdrawal bleeding. Bleeding suggests suppression of LH surge as seen in functional amenorrhea or polycystic ovary syndrome.
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Source: Field Guide to Bedside Diagnosis, 2007
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