Dear List members,
further information I have managed to get on my patient is that she is not on OCP, her requirement is one of a definitive diagnosis as to why she is not menstruating. She has always had irregular periods and in 1989 was diagnosed anorexia nervosa (she is still a 'slight' lady). She has some hair loss, which is not 'male-pattern' hair loss and also has a history of some weight loss a few months ago. She is on no medication.
Although the association between anorexia and amenorrhoea is well-known, what does it actually do to the biochemistry? Is it worthwhile adding on FT4 and cortisol to check hypopituitarism, or is this probably unlikely in this patient?
Regards,
Raheela Ajmal-Ali
Senior Biochemist
Whittington Hospital
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