A woman has been diagnosed with compartment IV primary amenorrhea. What assessments would the healthcare professional perform as priorities? (Select all that apply.)

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Compartment IV primary amenorrhea is due to CNS dysfunction, specifically of the hypothalamus. The hypothalamus is unable to synthesize GnRH, so the pituitary fails to secrete LH and FSH. Therefore, the ovary does not receive the hormonal signals required to stimulate estrogen production, and ovulation and menstruation do not occur. Because the ovarian hormones are absent, estrogen-dependent sex characteristics do not develop. Other possible causes of this condition include starvation or malnutrition, infections, and stress. The healthcare professional would assess for these contributing factors. Genetic testing/screening would be more appropriate for compartment II primary amenorrhea, which involves the ovaries and is often linked to genetic disorders.

A Woman Has Been Diagnosed with Compartment IV Primary Amenorrhea