Amenorrhea

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Amenorrhea
• Reviewed periods, weight change, weight-control behaviors, exercise, eating, stress, medications, and symptoms such as headaches, vision changes, nipple discharge, acne, or extra hair
• Follow up in 3 months

Missed or irregular periods are common in the first years after periods start and with stress, weight change, or intense exercise. Recommended supportive care with an emphasis on regular meals with enough energy for activity, sleep, and tracking periods. Return precautions given including severe headaches or vision changes, belly pain, dizziness, rapid weight loss, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Primary vs secondary
Low weight, exercise, stress, PCOS
Bone density

Return precautions in the template

severe headaches or vision changesbelly paindizzinessrapid weight loss

Sources

Emergency Contraception. Policy Statement. Pediatrics 2019;144(6):e20193149. (cited as current by 2025 CR)
Identification and Management of Eating Disorders in Children and Adolescents. Clinical Report. Pediatrics 2021;147(1):e2020040279. (current; companion: Medical…

Few formal guidelines cover this topic, so the template also leans on expert opinion.