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GO > Amenorreia/infertilidade > Flashcards

Amenorreia/infertilidade Flashcards

1
Q

Amenorreia secundaria definição

A

6 meses / período 3 ciclos

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2
Q

Amenorréia primária idade

A

14a sem CSS

16a com CSS

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3
Q

Investigação amenorréia secundária

A

BhCG- hiperprolact/ tireo- P- E+P- FSH- GnRh

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4
Q

Causas Ht amenorréia

A

Kallman, psicog, iatro (horm, MTD, metoclop), tu

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5
Q

S kallman

A

Anosmia, cegueira cores e hipogonadismo hipogonaditrófico

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6
Q

Amenorreia gonadal causas

A

Turner, falência ov precoce, savage, tu, Morris

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7
Q

Síndrome de savage

A

Resist as gonadotrofinas. Sem CSS

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8
Q

Síndrome de Morris

A

XY Insensibilidade androgênio. Pseudohermaf masc. Test inguinal

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9
Q

Amenorreias uterovaginais e causas

A

Def 21 hidroxilase, hermaf, malf muller, Asherman

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10
Q

Hiperplasia adrenal congênita causa mais comum

A

Def 21 hidroxilase

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11
Q

Hiperplasia adrenal congênita formas

A

Perdedora sal, virilizante simples, tardia (=SOP)

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12
Q

Malf muller

A

Rokitansky, hímen himperf, útero …

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13
Q

Síndrome rokitansky

A

Útero rudimentar, agenesia vagina, ovários normais

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14
Q

Síndrome rokitansky associação

A

Malf renais / vias urinárias

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15
Q

Síndrome Asherman

A

Sinéquias uterinas (falha crescimento endométrio )

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16
Q

SOP FP

A

Res ins-> Aum IGF1. Aum ins-> dim SHBG-> Aum testo e E livres. LH alto

17
Q

SOP critérios

A

2: oligo/anov, hiperandro, ov polic (12+)

18
Q

SOP tto irreg menstrual

A

Ciproterona / MTF

19
Q

SOP tto infertilidade

A

MTF, clomifeno

20
Q

SOP labs a solicitar

A

TSH, prolactina, testo total/livre, SDHEA (excluir neo)

21
Q

SOP hormônios

A

SHBG baixo, FSH N ou baixo, resto alto

22
Q

Síndrome de Hairan

A

=SOP, +grave. Hiperandro, resist ins, acantose nig

23
Q

Síndrome swyer

A

XY, test fibrosos-> não produz anti muller-> genitália ext e int feminina. Sem CSS

24
Q

SOP + indução ovulação aumenta risco de

A

Hiperestimulação ovariana

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