Urgent considerations
See Differentials for more details
Any patient of reproductive age should be assessed for pregnancy.[1]
A patient who was previously amenorrhoeic due to a chronic anovulatory state can present with acute menorrhagia and resultant symptomatic anaemia.
Patients with hyperprolactinaemia or those diagnosed with hypogonadotrophic hypogonadism and neurological symptoms should undergo neuroimaging to rule out an intracranial neoplasm.[14]
Patients with symptoms of rapid virilisation should undergo prompt work-up to rule out adrenal or ovarian tumours or virilising Cushing's syndrome.
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