What is the role of MRI in the evaluation of amenorrhea?

Updated: Jan 08, 2019
  • Author: Kristi A Tough DeSapri, MD; Chief Editor: Richard Scott Lucidi, MD, FACOG  more...
  • Print
Answer

MRI of the pituitary and hypothalamus is often indicated in the evaluation of amenorrhea. Request imaging of the hypothalamic/pituitary area specifically, rather than a study of the entire brain. This achieves higher resolution. MRI is indicated in the following circumstances:

  • Associated headaches or visual-field cuts

  • Profound estrogen deficiency with otherwise unexplained amenorrhea

  • Hyperprolactinemia

  • Elevated gonadotropins in the setting of markedly elevated serum estradiol level


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!