Amenorrhoea Flashcards
1
Q
amenorrhoea
A
cessation of a period
2
Q
what are the types of amenorrhoea
A
primary
secondary
3
Q
primary amenorrhoea
A
period hasn’t started but other milestones have progressed
4
Q
secondary amenorrhoea
A
absence of period despite have a period before
absence of period for 3-6 months
5
Q
causes of primary amenorrhoea
A
turner's syndrome congenital malformation of genital tract hypothyroid due to anorexia congenital adrenal hyperplasia imperforate hymen
6
Q
causes of secondary amenorrhoea
A
hypothyroid due to anorexia PCOS hyperprolactinaemia Sheehan's syndrome hypothalamic hypogonadism
7
Q
what is Sheehan’s syndrome
A
post-partum pituitary gland necrosis
caused by blood loss
loss of lactation
growth hormone deficiency
8
Q
investigations
A
pregnancy test TFTs bloods prolactin levels gonadotrophin levels
9
Q
what causes hyeprploctinaemia
A
risperidone
10
Q
management
A
managing underlying causes
11
Q
what do the levels of gonadotrophin indicate
A
low - thyroid
high - ovarian
