amenorrhea and PCOS Flashcards
1
Q
thelarche
A
onset of female breast development
2
Q
pubarche
A
appearance of sexual hair
3
Q
adrenarche
A
onset of androgen-dependent body changes such as hair, odor, and acne
4
Q
primary amenorrhoea
A
failure to menstruate by age 16
5
Q
secondary amenorrhoea
A
absence of menses >6months
6
Q
common causes of primary amenorrhea
A
constitutional delay chromosomal abnormalities pit tumor congenital adrenal hyperplasia genital tract anomaly
7
Q
if secondary sexual characteristics are slow to develop what Dx is likely
A
constitutional delay
8
Q
visual field defect should think of what
A
pit tumor
9
Q
virilsation should think of what
A
congenital adrenal hyperplasia
10
Q
common causes of secondary amenorrhoea
A
hypothalamic (stress, weight change, post BC) PCOS premature menopause hyperprolactinaemia pregnancy
11
Q
uncommon causes of secondary amenorrhoea
A
kallmans sheehans cushings pit tumors post encephalitis/trauma thyroid disease androgen producing tumors ashermans syndrome cervical stenosis
12
Q
what is the LH:FSH ratio in PCOS
A
LH>FSH
13
Q
Complications of PCOS
A
abnormal bleeding infertility (anovulation) increased risk of endometrial CA incrased CRP increased risk of DMII, HTN, HLD increased risk of NASH obstructive sleep apnea
