amenorrhea Flashcards
the absence of menstruation
and it is classified as either primary or
secondary.
Amenorrhea
term used to
designate the fact that no menstrual
bleeding has ever occurred.
Primary amenorrhea
used to
designate the fact that vaginal bleeding
has occurred but has now ceased.
Secondary amenorrhea
It is more common for _____ amenorrhea
to be a result of chromosomal
abnormalities or structural malformations
of the genital tract.
primary
Approximately \_\_\_\_% of the women with primary amenorrhea have a chromosomal defect such as 45XO or 45XO/46XX, especially if no secondary sexual characteristics have developed.
40
Next in order is ____ with
absence of the vagina and then testicular
feminization syndrome.
Mullerian agenesis
The medial basal hypothalamus is
secreting _____, which regulates the pituitary
function.
gonadotropin-releasing hormone (GRH)
The ____ pituitary is producing the gonadotropins lutenizing hormone (LH) and follicle-stimulating hormone (FSH), which control the ovarian function.
anterior
The development of breast tissue requires
estrogen stimulation, which in turn
requires normal ____ and ovarian
function.
pituitary
An elevated FSH level suggests ____
failure.
ovarian
A low FSH level suggests a defect at the level of the ____ or ___
pituitary or hypothalamus
A woman who does not experience vaginal
bleeding following the _____
challenge test suggests that she is
experiencing either an inadequate priming
of the endometrial lining or absence of an
endometrial cavity.
progesterone
A woman with an elevated serum LH (or
LH/FSH ratio greater than three), the
physician must consider the likelihood of
_______
polycystic ovary syndrome
A normal or low LH level suggests a more
central defect of the _____ regulation – this requires that a
serum prolactin be performed
hypothalamic/
pituitary
It is wise to perform a serum _____ level
on any woman with oligomenorrhea in
order to assess for the possibility of a
pituitary tumor
prolactin
