Amenorrhoea

Question 1

Primary causes

Answer 1

Hyothalamus / Congenital

• Turners XO
• Kallmann’s syndrome

Pregnancy

Pituitary –> tumour
Thyroid –>
Adrenal –> CAH
Ovarian
Uterus –> cervical agenesis, uterine adhesions (Ashermann’s Syndrome)
Vagina –> Imperforated hymen, Vaginal agenesis

Question 2

Secondary Causes

Answer 2

Pregnancy
Hyothalamus  
Pituitary --> tumour  
Thyroid --> hyper/hypothyroidism 
Adrenal --> CAH 
Ovarian --> primary ovarian failure, ovarian tumour, PCOS 
Uterus --> 
Vagina -->

Meds: antipsychotics / opiates / contraception
Malabsorption: Coeliac disease
Decrease BMI –> anorexia, excessive exercise