Peer Responses:Length: A minimum of 275 words per post, not including referencesCitations: At least one high-level scholarly reference in APA per post from within the last 5 yearsA 21-year-old female patient presents to the office for an annual exam. She has had normal, regularmenstrual cycles since she was 14 but she has not had a menstrual cycle in over 6 months. A pregnancytest is negative. The FNP wants to order blood work to determine the cause of her secondaryamenorrhea. When the patient hears that if all is normal the treatment will be giving progestins toinitiate a menstrual cycle, she tells the FNP that she cannot do that because she does not believe in birthcontrol pills. The FNP tries to advise the patient that it is not birth control pills, but a hormone to assist inregulating her periods and the patient leaves the office crying. What does the FNP do now to help thispatient?Secondary amenorrhea is defined as not having menses for 6 months or longer in someone who has hadmenses before (Lord and Sahni, 2022). The 3 main causes of secondary amenorrhea include hormonalchanges, an obstruction blocking the path of menstrual blood flow, or physical harm to the endometrium(Lord and Sahni, 2022). It’s important to know the history of the patient including any trauma, surgeries,and prior pregnancies (Lord and Sahni, 2022). Certain illnesses such as pituitary prolactinoma and PCOScan also cause changes to menses which is why checking prolactin and TSH levels are important (Lordand Sahni, 2022).The first step would be to do a urine pregnancy test (Lord and Sahni, 2022). All female patients from 16-
