The evaluation of amenorrhea begins with a history and physical exam, including a pelvic exam.

Physical exam is usually normal in those with amenorrhea.

Usually, testing is required to determine the underlying cause for amenorrhea.

Tests that may be used to evaluate amenorrhea include:

• Pregnancy test
• Serum estrogen level
• Serum progesterone level
• Serum LH level
• Serum FSH level
• Pelvic ultrasound
• Pelvic CT scan