Primary Amenorrhea and Persistent Stress Fracture.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 29272181.
- Also identified by DOI 10.1080/00913847.1995.11947837.
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Abstract
In brief A 16-year-old cross-country runner and Nordic skier presented for a preparticipation examination with primary amenorrhea and a 3-month history of right fourth metatarsal stress fracture. The history and physical exam narrowed the cause to a hypothalamic disorder; inadequate nutrition might have played a role. The stress fracture resolved after 2 months of oral contraceptive use. The case illustrates the multifactorial nature of amenorrhea and the need for an individualized approach to diagnosis and treatment.