Here is a quick mnemonic/memory aid “AMENORRHEA“ to remember about the Diagnostic Tests for Amenorrhea-Galactorrhea Syndrome
Mnemonic : AMENORRHEA
A – Androgen Levels Assessment: Check testosterone and DHEA-S levels to rule out androgen excess as a cause of amenorrhea and galactorrhea.
M – MRI Pituitary Scan: Request a magnetic resonance imaging (MRI) of the pituitary gland to evaluate for any pituitary adenomas or tumors, which can disrupt hormone regulation.
E – Endocrine Panel: Run a comprehensive endocrine panel, including measurements of prolactin, LH, FSH, and TSH levels, to identify hormonal imbalances.
N – Nipple Examination: Physically examine the nipples to check for any discharge, which can help determine the source of galactorrhea.
O – Ovarian Imaging: Utilize ultrasound or other imaging techniques to assess the ovaries for any cysts or structural abnormalities contributing to amenorrhea.
R – Reproductive History Review: Thoroughly review the patient’s reproductive history and menstrual cycle patterns to gather important diagnostic clues.
R – Resistin Levels Check: Consider measuring resistin levels as elevated resistin can be linked to insulin resistance, which may be associated with this syndrome.
H – Hormone Receptor Assay: Conduct hormone receptor assays on any breast discharge to help determine the underlying cause of galactorrhea.
E – Estradiol Assessment: Measure estradiol levels to evaluate estrogen production and its impact on the menstrual cycle.
A – Adrenal Function Tests: Assess adrenal function, including cortisol and aldosterone levels, as adrenal disorders can contribute to hormonal disturbances.
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