Amenorrhea

Question 0

Secondary amenorrhea

Answer 0

Absence of menses for 6 months or longer

Question 1

Primary amenorrhea

Answer 1

Absence of spontaneous menstruation by age 16

Question 2

Mc cause of secondary amenorrhea

Answer 2

Pregnancy

Question 3

4 types of primary amenorrhea

Answer 3

With no secondary sexual character, with breast development but no hair, with normal secondary sexual characteristics, with incomplete secondary sexual characteristics

Question 4

Amenorrhea with no secondary sexual characteristics

Answer 4

Suggests gonadal a genesis or dysgenesis, ovarian resistance syndrome, galactosemia, gonadotropin-releasing hormone deficiency, Cns mass, lesion, hyperprolactinanemia

Question 5

Amenorrhea with breast development but hair

Answer 5

Suggests androgen insensitivity

Question 6

Amenorrhea with normal secondary sexual characteristics

Answer 6

Suggests imperforate hymen, transverse vaginal septum, cervical or mullerian agenesis

Question 7

Amenorrhea with incomplete secondary sexual characteristics

Answer 7

Tumor of hypothalamus, pituitary, hypothyroidism, premature ovarian failure, hyperprolactinemia

Question 8

MC cause of secondary amenorrhea

Answer 8

Pregnancy

Question 9

Other causes of secondary amenorrhea

Answer 9

Drug use, stress, significant weight change, excessive exercise

Question 10

Causes of secondary amenorrhea with normal estrogen level

Answer 10

PCOS, Asherman’s syndrome

Question 11

Lab studies of amenorrhea

Answer 11

Pg test, FSH, estrogen, prolactin, testestrone levels, progesterone challenge test (to determine the presence or absence of estrogen), thyroid, MRI, CT