Functional Hypothalamic Amenorrhea: An Endocrine Society Clinical Practice Guideline
J. clin. endocrinol. metab
; 102(5): 1413-1439, May 1, 2017.
Artigo
em Inglês
| BIGG - guias GRADE
| ID: biblio-965982
Biblioteca responsável:
BR1.1
ABSTRACT
COSPONSORING ASSOCIATIONS The American Society for Reproductive Medicine, the European Society of Endocrinology, and the Pediatric Endocrine Society. This guideline was funded by the Endocrine Society. OBJECTIVE:
To formulate clinical practice guidelines for the diagnosis and treatment of functional hypothalamic amenorrhea (FHA).PARTICIPANTS:
The participants include an Endocrine Society-appointed task force of eight experts, a methodologist, and a medical writer. EVIDENCE This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation approach to describe the strength of recommendations and the quality of evidence. The task force commissioned two systematic reviews and used the best available evidence from other published systematic reviews and individual studies. CONSENSUS PROCESS One group meeting, several conference calls, and e-mail communications enabled consensus. Endocrine Society committees and members and cosponsoring organizations reviewed and commented on preliminary drafts of this guideline.CONCLUSIONS:
FHA is a form of chronic anovulation, not due to identifiable organic causes, but often associated with stress, weight loss, excessive exercise, or a combination thereof. Investigations should include assessment of systemic and endocrinologic etiologies, as FHA is a diagnosis of exclusion. A multidisciplinary treatment approach is necessary, including medical, dietary, and mental health support. Medical complications include, among others, bone loss and infertility, and appropriate therapies are under debate and investigation
Texto completo:
Disponível
Coleções:
Bases de dados temática
Base de dados:
BIGG - guias GRADE
Assunto principal:
Amenorreia
/
Doenças Hipotalâmicas
Tipo de estudo:
Guia de prática clínica
/
Estudo prognóstico
Idioma:
Inglês
Revista:
J. clin. endocrinol. metab
Ano de publicação:
2017
Tipo de documento:
Artigo
Instituição/País de afiliação:
Areteio Hospital, Medical School, National and Capodistrian University of Athens/GR
/
Boston Children's Hospital/US
/
Center for Menopause, Hormonal Disorders, and Women's Health/US
/
Cincinnati Children's Hospital Medical Center/US
/
Division of Preventive Medicine, Mayo Clinic/US
/
Massachusetts General Hospital/US
/
University of Colorado School of Medicine/US
/
Wake Forest School of Medicine/US