A Case of Secondary Amenorrhea

Abstract

THE RESULTS of treatment of secondary amenorrhea are often a source of dissatisfaction both to the patient and her physician. We are reporting a case of secondary amenorrhea in which a careful diagnostic survey was completed and an unusually long and tedious course of therapy was given before a completely successful result was achieved. CASE REPORT The patient was first seen in March, 1941, at the age of 17. She was a thin, pale, white schoolgirl who had not had a menstrual period since June, 1940. Menarche occurred at 13 years of age. She had her first 3 periods at 6-month intervals and then had regular 6-week menstrual cycles which terminated abruptly in June, 1940. Her periods had been normal in duration and were never painful. She had never been operated upon and had had only the usual childhood diseases. Physical examination. Physical examination revealed a thin, white girl with no endocrine stigmata.