amennorrhoea

Question 1

primary

Answer 1

defined as the failure to establish menstruation by 15 years of age in girls with normal secondary sexual characteristics (such as breast development), or by 13 years of age in girls with no secondary sexual characteristics

Question 2

secondary

Answer 2

cessation of menstruation for 3-6 months in women with previously normal and regular menses, or 6-12 months in women with previous oligomenorrhoea

Question 3

causes - primary

Answer 3

turners
congenital
malformation of genetic tract
congenital adrenal hyperplasia
imperforate hymen

Question 4

secondary amenorrhoea

Answer 4

hypothalamic amenorrhoea
pcos
hyperprolactinaemia
premature ovarian failure sheehans
stress

Question 5

ivg

Answer 5

pregnancy test
u+e
coeliac
gonadotrophins - low is hypothalamic, high is ovarian, raised in turners
prolactin
androgens

Question 6

management - primary

Answer 6

investigate and treat any underlying cause
with primary ovarian insufficiency due to gonadal dysgenesis (e.g. Turner’s syndrome) are likely to benefit from hormone replacement therapy (e.g. to prevent osteoporosis etC)

Question 7

management secondary

Answer 7

exclude pregnancy, lactation, and menopause (in women 40 years of age or older)
treat the underlying cause