Amenorrhea (Sheehan Syndrome)

Question 0

Sheehan syndrome?

Answer 0

Anterior pituitary hemorrhagic necrosis caused by hypertrophy of the prolactin-secreting cells in conjunction with a hypertensive episode

Postpartum hemorrhage

Question 1

Patient post delivery with amenorrhea and inability to breast-feed?

If patient had been able to breast-feed, most likely diagnosis?

Answer 1

Sheehan syndrome; intrauterine adhesions

Question 2

Postpartum hemorrhage?

Answer 2

Over 500 mL for vaginal delivery or over 1000 mL for C-section

Question 3

When to worry about pathologic amenorrhea post pregnancy?

Answer 3

No resumption of menses 12 weeks after delivery in a non-lactating woman

Question 4

Amenorrhea in a postpartum woman without history of postpartum hemorrhage?

Answer 4

Pursue hypothalamic causes (hypothyroidism, hyperprolactinemia)

Question 5

Treatment of Sheehan syndrome ?

Answer 5

Replacement of hormones

Question 6

Basal body temperature in Sheehan syndrome?

Answer 6

Monophasic (normally biphasic)