Amenorrhea

Question 1

Primary amenorrhea - XY gonadal dysgenesis. What are laparoscopy findings?

Answer 1

Streak gonads and female internal genitalia

Question 2

Synonym for pure gonadal dysgenesis

Answer 2

Swyer’s syndrome if XY (hyper hypo)

Perrault’s sydrome if XX (hyper hypo)

Question 3

Synonym for mixed gonadal dysgenesis

Answer 3

Turner’s syndrome (hyper hypo)

Question 4

What is is when you have streak gonads and male internal genitalia?

Answer 4

Noonan syndrome

Question 5

What are the 3 common types of GD in primary amenorrhea?

Answer 5

1- Turner’s 45XO
2-GD XX (swyer’s)
3-GD XY

Question 6

Most common cause of primary amenorrhea?

Answer 6

Hypergonadotropic hypogonadism (Turner’s, GD)

Question 7

Top 3 causes of primary amenorrhea?

Answer 7

#1-Hyper hypo (Turners, GD)
#2-Mullerian Agenesis
#3- AIS

Question 8

17 alpha hydroxylase deficiency

Answer 8

Rare. occurs in XX or XY
Presents with primary amenorrhea (if XX), incomplete ext development (if XY), HTN.
Overproduction of ACTH/aldosterone and progresterone but low cortisol