Definition of amenorrhoea?
Cessation of menstruation for 3-6 months in women with previously normal and regular menses
What are the first 2 physiological causes of amenorrhoea that should be ruled out first?
Pregnancy
Lactation
Amenorrhoea + associated headaches + galactorrhoea = ?
What test immediately indicated and why?
Pituitary tumour
- prolactin level to check for prolactinoma
When is an MRI brain appropriate in presence of amenorrhoea, headaches, galactorrhoea and why?
With visual field defects, typically a bitemporal hemianopia
- this may be caused by a macroadenoma