Abstract
Abstract Nonphysiologic absence of menses among women in the reproductive age group may be caused by psychosocial stress factors as well as by disorders of the hypothalamic-pituitaryovarian axis. The diagnosis of psychogenic amenorrhea should not be entertained prior to exclusion of pathologic conditions of the uterus, ovaries, pituitary gland, and the central nervous systern. Obtaining a thorough history, a complete physical examination, and selective laboratory tests is essential for evaluationof a patient with amenorrhea.
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