<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)'
sortBy
tiddler.title
ascending
write '"*[["+tiddler.title+"]]\n"'>>
<<tiddler AutoRefresh with: force>>
divide into primary (no menses by 16y) or secondary (cessation of established, regular menstruation for 6/12+)
''Causes of primary amenorrhoea''
Turner's syndrome
testicular feminisation
congenital adrenal hyperplasia
congenital malformations of the genital tract
''Causes of secondary amenorrhoea (after excluding pregnancy)''
hypothalamic amenorrhoea (e.g. Stress, excessive exercise)
polycystic ovarian syndrome (PCOS)
hyperprolactinaemia
premature ovarian failure
thyrotoxicosis (or hypothyroid)
''Initial investigations''
exclude pregnancy with urinary or serum bHCG
gonadotrophins - (low - hypothalamic, high - ovarian eg POF)
prolactin
androgen levels - eg PCOS
oestradiol (progesterone doesn't help)
thyroid function tests