Amenorrhea Flashcards
hypothalamic dysfunction with amenorrhea would appear as?
puberty delay
pituitary dysfunction is associated with what levels of hormone?
decreased FSH, LH and estrogen
ovarian dysfunction is associated with what levels of hormone?
decreased estrogen + increased FSH and LH
patients with ovarian dysfunction may have symptoms of?
estrogen deficiency
in a female who has a both breasts and a uterus what is the most likely cause of amenorrhea?
Outflow obstruction- imperforate hymen
In a female who has a uterus present and breast are absent who’s FHS and LH labs are increased, what is the most likely cause?
Ovarian causes: premature ovarian failure
gonadal dysgenesis
In a female who has a uterus present and breast are absent who’s FHS and LH labs are decreased, what is the most likely cause?
hypothalamus-pituitary failure
puberty delay
in a female who is absent of a uterus but has breasts what is the likely cause of amenorrhea
Mullerian agenesis
androgen insensitivity
if both the uterus and breast are absent in a female, what is the likely cause of amenorrhea?
usually caused by a defect in testosterone synthesis. Presents like a phenotypic immature girl, but will often have intrabdominal testes
when doing a progesterone challenge, if the patient bleeds after the challenge what does this represent?
patient is anovulatory or oligo-ovulatory
no bleeding after a progesterone challenge is indicative of?
hypoestrogen or anatomic abnormality
how do you manage hypothalamic pituitary dysfunction?
treatment of underlying disorder (referral, contraceptives, lifestyle changes
how do you manage ovulatory dysfunction?
contraceptives
how do you manage outflow alterations?
surgical referral
non structural reasons for abnormal uterine bleeding
Coagulopathy
ovulatory dysfunction
endometrial
iatrogenic-
not yet classified
