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CONSULT REQUEST GUIDELINES
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Amenorrhea
Suggested Pre-Referral Evaluation and Management Guidelines
If pregnancy test negative, consider progesterone challenge - 10 mg x 7 days and check for withdrawal bleed
Suggested Additional Test/Management Prior to Specialty Visit
Pregnancy test:
TSH
Prolactin
FSH and Estradiol if perimenopausal
Patient Education/Information (includes preps)
1)
Athletic Amenorrhea
2)
Missed or Irregular Periods
Appointment Timeframe
1 month
How to Get Results to Consultant
UMHS Patients: See CareWeb
External Patients: Hand carry results to clinic appointment
Clinic Contact Information
Physician: 800-962-3555
Patient:
Mott Children’s Hospital and Von Voigtlander Women’s Hospital
734-763-6295
Livonia Center for Specialty Care
734-462-7811
Clinic Location Sites
Mott Children’s Hospital and Von Voigtlander Women’s Hospital
UM Consulting Physician
Senait Fisseha, MD. JD
John Randolph, MD
Jennifer W. Collin, M.D.
Sara C. Frost, M.D.
Helen K. Morgan, M.D.
Jane M. Nicholson, M.D.
Julie Stein Perry, M.D.
Margaret R. Punch, M.D.
Natalie A. Saunders, M.D.
Roger D. Smith, M.D.
Caren M. Stalburg, M.D.
Stephanie K. Young, M.D.
Revised on:
02/06/2012
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