Secondary Amenorrhea: An Approach to Diagnosis and Management

BACKGROUND: Amenorrhea is common presenting complain in large number of gynaecological disorders. Secondary amenorrhea is clinically defined as the absence of menstruation for more than 3 cycle intervals, or 6 consecutive months, in previously menstruating woman. Approximately 1 % of women of reproductive age experience secondary amenorrhea. OBJECTIVE To investigate the cause of secondary amenorrhea in different age group and management. METHODS The study group includes 100 women with secondary amenorrhea who attended OPD or were admitted in AIIMS Patna during the period of March 2017 to May 2018. This is observational study of women who had amenorrhea for more than 6 months. RESULTS Our study showed that 30 % had PCOD, premature ovarian failure seen in 15 % of cases, genital tuberculosis seen in 15 % of cases. Study showed that 56 % were in age group of 18-29 years and 44 % were in age group 30-39 years. Majority of patients (58 %) had duration of amenorrhea