Menopause: Or something else? Differential Diagnosis

Endocrine, nutritional, and metabolic diseases (E00-E90).

  • Diabetes mellitus – due to bleeding abnormalities.
  • Ovarian dysfunction (malfunction of the ovaries).
  • Thyroid dysfunction

Cardiovascular system (I00-I99)

  • Angina pectoris (“chest tightness”; sudden onset of pain in the heart area).
  • Myocardial infarction (heart attack)
  • Cardiac arrhythmias

Musculoskeletal system and connective tissue (M00-M99)

  • Arthritis (inflammation of the joints)
  • Osteoporosis (bone loss)
  • Polyarthritis (inflammation of five or more joints).

Neoplasms – tumor diseases (C00-D48)

  • Cancers such as cervical carcinoma (cancer of the uterine cervix) and endometrial carcinoma (cancer of the endometrium) – due to bleeding abnormalities.

Psyche – nervous system (F00-F99; G00-G99).

  • Depression
  • Lavished, latent psychosis
  • Paranoid psychosis

Genitourinary system (kidneys, urinary tract – reproductive organs) (N00-N99).

  • Urinary incontinence (bladder weakness).
  • Unstable bladder (urgency; urge incontinence).
  • Premenstrual syndrome (PMS) – cyclical complaints before menstruation, especially with headaches, abdominal pain and mood swings.
  • Secondary amenorrhea, this can have various causes:
    • Obesity (overweight)
    • Anorexia nervosa (anorexia)
    • Asherman syndrome – loss of the endometrium (lining of the uterus) due to severe inflammation or trauma.
    • Inflammation in the area of the hypothalamus.
    • Hemochromatosis (iron storage disease) – genetic disease with autosomal recessive inheritance with increased deposition of iron as a result of increased iron concentration in the blood with tissue damage.
    • Hyperandrogenemia (increase in male sex hormones in the blood).
    • Hyperprolactinemia (increase in prolactin levels in the blood).
    • Pituitary tumors (tumors of the pituitary gland).
    • Hypothalamus tumors (tumors of the diencephalon).
    • Climate change
    • Competitive sports
    • Polycystic ovary syndrome (PCO syndrome) – cyst formation in the ovary leading to impaired hormonal function.
    • Psychogenic reaction such as after severe personal or other disasters.
    • Ovarian tumors (ovarian tumors).
    • Sheehan syndrome – acquired anterior pituitary insufficiency ((HVL insufficiency/ hypofunction of the pituitary gland) due topostnatal pituitary necrosis (dead cell(s)/tissue of the pituitary gland after a birth).
    • Premature ovarian failure – depletion of ovarian function with progressive follicular atresia (failure to lay down follicles).
  • Cystitis (inflammation of the bladder

Further