amenorrhea Flashcards
anatomical ds causes
genital tract abmormalities asherman's syndrome mullerian agenesis tranverse vaginal septum imperforate hymen
asherman’s syndrome
def: presence of intrauterine adhesions which prevent menstruation
cause: over-vigorous uterine curettage
ovarian disorders causes
anovulation(PCOS)
premature ovarian failure (POF)
POF
def: cessation of periods before 40 years of age
causes: unexplained.may be d/t chemo,radio,autoimmune
pituitary causes
adenoma ( prolactinoma is common) pituitary necrosis (sheehan's syndrome)
hypothalamic disorders
excessive exercise,weight loss and stress
hypothalamic lesions ( craniopharyngioma,glioma)
head injuries
kallman’s syndrome
systemic disorders including sarcoidosis, TB
drugs: progestogens, HRT or dopamine antagonist
definition
1ry: when girls fail to menstruate by 16yo
2ry: absence of menstruation >6m in a normal female of reproductive age that is not due to pregnancy,lactation or menopause