Functional Hypothalamic Amenorrhea

Endocrine Society (ES) suggests that clinicians make the diagnosis of functional hypothalamic amenorrhea (FHA) only after excluding the anatomic or organic pathology of amenorrhea. ( UGPS )

In patients with suspected FHA, ES recommends obtaining a detailed personal history with a focus on diet; eating disorders; exercise and athletic training; attitudes, such as perfectionism and high need for social approval; ambitions and expectations for self and others; weight fluctuations; sleep patterns; stressors; mood; menstrual pattern; fractures; and substance abuse. Clinicians should also obtain a thorough family history with attention to eating and reproductive disorders. ( UGPS )