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CPE-010 · Safety
PC-11: Prolonged amenorrhea
Prolonged amenorrhea. Evaluates amenorrhea for more than 3 months OR fewer than 4 cycles a year.
Active rulePriority 3PCOS engine v1.0.0
Condition
- amenorrhea for more than 3 months OR fewer than 4 cycles a year
What it reports
- Prolonged anovulation raises the risk of endometrial hyperplasia: the physician should consider endometrial assessment and protection
Diagnostic boundary
- The engine names no regimen.
Evidence
- EV-PCOS-2023Teede HJ, Tay CT, Laven JJE, et al. Recommendations From the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome. J Clin Endocrinol Metab. 2023;108(10):2447-2469.Supports: Adult diagnosis: irregular cycles plus hyperandrogenism once other causes are excluded; ultrasound or AMH when one is missing Adolescent criteria require both irregular cycles and hyperandrogenism Glycemic, cardiometabolic, sleep and mood assessment; endometrial risk in prolonged anovulation
- EV-ACOG-PCOS-2018American College of Obstetricians and Gynecologists. Polycystic Ovary Syndrome. ACOG Practice Bulletin No. 194. Obstet Gynecol. 2018;131(6):e157-e171.Supports: Clinical approach, exclusions and long-term risks
Cases where this rule fires
Open a case to see this rule fire with real inputs, then change the values until it stops.
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