Pelvic Ultrasound
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Safe and non-invasive method to assess for uterine and ovarian pathology which may account for up to 20% of cases of secondary amenorrhea.
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Most common uterine cause is intrauterine adhesions (Asherman syndrome) and should be considered particularly in women with a history of instrumentation.
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Assessment of the ovaries may reveal small ovaries (ovarian failure) or polycystic ovaries (polycystic ovarian syndrome).
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