Amenorrhea Flashcards
What is the definition of Primary Amenorrhea?
Absence of menses by age 15 in the presence of normal growth and secondary sexual characteristics.
By age 13 there is complete absence of secondary sexual characteristics.
Patients with which syndrome have Mullerian agenesis, characterized by having complete vaginal agenesis with the absence of a uterus.
Mayer-Rokitansky-Kuster-Hauser Syndrome
What is the definition of Secondary Amenorrhea?
What is its most common cause?
Absence of menses for 3 months in women with previously regular cycles or 6 months in women with a history of irregular cycles; Pregnancy.
This syndrome is characterized by the presence of intrauterine synechiae or adhesions , usually secondary to intrauterine surgery or infection
Asherman Syndrome
WJO group classification for anovulatory disorder?
Hypergonadotropic Hypoestrogenic Anovulation
Polycystic ovarian syndrome is classified under WHO class for Amenorrhea?
Normogonadotropic, Normoestrogenic Anovulation
Initial approach to secondary amenorrhea?
hCG ( pregnancy test) to rule out pregnancy
Evaluation of amenorrhea should be started for girls with the following conditions except which?
No pubertal development by age 15
Estrogen is given in patients with premature ovarian failure to prevent which condition?
Osteoporosis
Most common cause of premature ovarian failure?
Idiopathic or Autoimmune
Which Test can differentiate Hypergonadotropic hypogonadism from Hypogonadotropic hypogonadism?
FSH levels are higher in hupergonadotropic hypogonadism.