Letters to the Editor
An Overlooked Cause of Amenorrhea and Infertility
Am Fam Physician. 2002 Oct 1;66(7).
to the editor: I would like to share a recent experience I had in my practice. A 42-year-old woman presented for her annual physical examination. Before entering the examination room, I reviewed her history: she had remarried three years ago, and she and her new husband had wanted to try for a pregnancy. She had been amenorrheic and had seen another family physician for counseling and an obstetrician-gynecologist for initial infertility evaluation. I had guided her through therapy with clomiphene citrate (Clomid).
By the time of this recent visit, she and her husband had given up on having a child long ago. I had her raise her left arm above her head for a breast examination and noticed a Norplant device on the under surface of her arm. When I asked her about it, she said, “I had completely forgotten about it.” I removed the Norplant this week, shared the story with the multiple other physicians involved in her infertility counseling (with her permission), and have learned to look for this forgotten cause of amenorrhea and infertility in future patients.
Send letters to firstname.lastname@example.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors.
Letters submitted for publication in AFP must not be submitted to any other publication. Possible conflicts of interest must be disclosed at time of submission. Submission of a letter will be construed as granting the AAFP permission to publish the letter in any of its publications in any form. The editors may edit letters to meet style and space requirements.
This series is coordinated by Kenny Lin, MD, MPH, Associate Deputy Editor for AFP Online.
Copyright © 2002 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact email@example.com for copyright questions and/or permission requests.
Want to use this article elsewhere? Get Permissions