Amenorrhoea

Question 1

Types of amenorrhoea

Answer 1

1. Primary: Never had period
   Sexual maturation+ .. period by 13yrs
   If not, called primary amenorrhoea
2. Secondary: had but stopped

Question 2

Causes of primary amenorrhoea

Answer 2

Sexual maturation+ but no period after 13yrs
Causes:
1. Hypothalamic - Low BMI, excess exercise, Chronic illness, stress
2. PCOS
3. Imperforate hymen
4. Congenital absence of uterus/vagina
5. Kallman/Turners syndrome
6. Pituitary tumour

Question 3

Investigations for primary amenorrhoea

Answer 3

Hormones - FSH, LH, Estrogen, prolactin

Question 4

Causes of secondary amenorrhoea

Answer 4

mcc - PCOS
others same as primary

First test - PREGNANCY

Question 5

Premature ovarian insufficiency/failure

Answer 5

Menopause before 40yrs
1. Iatrogenic
2. Autoimmune
3. Turners
4. Fragile X

No estrogen
Mx- HRT *UPTO 50yrs