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How to identify my primary amenorrhea and pcos is due to pituitary and hypothalamus dysfunction.
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Hello, Low concentrations of FSH, LH, and estradiol or a failed progesterone challenge test are suggestive of hypothalamic amenorrhea. Hypogonadotropic hypogonadism (HH) is confirmed with at least 2 decreased FSH and 2 decreased estrogen measurements. GnRH stimulation testing may help differentiate between pituitary and hypothalamic causes of HH. Patients with hypothalamic disease will respond to GnRH injections by secreting LH and FSH, whereas patients with pituitary disease will not secrete gonadotropins in response to releasing hormone.
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