Urgent considerations
See Differentials for more details
Any patient of reproductive age should be assessed for pregnancy.[1]
A patient who was previously amenorrheic due to a chronic anovulatory state can present with acute menorrhagia and resultant symptomatic anemia.
Patients with hyperprolactinemia or those diagnosed with hypogonadotropic hypogonadism and neurologic symptoms should undergo neuroimaging to rule out an intracranial neoplasm.[14]
Patients with symptoms of rapid virilization should undergo prompt workup to rule out adrenal or ovarian tumors or virilizing Cushing syndrome.
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