Amenorrhoea

Question 1

Outline key questions in the history that will help you to determine the cause of the amenorrhoea?

Answer 1

Developmental history
Sexual charateristics - breast buds, pubic axillary hair, growth spurts, menarche
Medical history chemotherapy, cancers ie tumours, drugs, chronic disease, coeliacs, urinary issues, absent smell
Family history of primary amenorrhoea
HEADSS assessment

Question 2

Outline examinations findings you might look for in a patient with primary amenorrhoea?

Answer 2

Appearance - short or normal stature.
Short stature look for certain causes - turners, trauma, intracranial tumours, hydrocephalus, empty sella syndrome.

Normal stature look for certain causes
hypothalamic dysfunction, chronic illness, anorexia, kallmans, prolactin, thyroid, primary ovarian issues, vaginal, galactosaemia.