Amenorrhea: Diagnostic Tests

Obligatory medical device diagnostics.

  • Vaginal ultrasonography (ultrasound examination using an ultrasound probe inserted into the vagina (sheath)) – to evaluate the genital organs or to rule out PCO syndrome.
  • Abdominal sonography (ultrasound examination of the abdominal organs) – mainly to assess the kidneys, adrenal glands and ovaries (ovaries).

Optional medical device diagnostics – depending onthe results of the history, physical examination, laboratory diagnostics and mandatory medical device diagnostics – for differential diagnostic clarification.

  • Computed tomography (CT) of the abdomen (abdominal CT) – to exclude tumors in the abdomen.
  • Computed tomography/magnetic resonance imaging of the skull (cranial CT or.cCT/cranial MRI or cMRI).
    • MRI can be used to visualize even the smallest changes in the pituitary gland (e.g., mircoadenomas)
    • CTis now indicated only in exceptional cases, e.g., in the question of calcifications or in the presence of contraindications for an MRI examination.
  • Ophthalmological examinations in visual disorders (here: perimetry) – to determine possible visual pathway lesions (evidence of visual field loss due to compression of the optic chiasm: bitemporal hemianopsia / visual disorder with loss of both temporal visual fields).