amenorrhoea

Question 1

Primary vs secondary amenorrhoea

Answer 1

Primary = never had a period
Secondary = previously had periods

Question 2

Causes of amenorrhoea

Answer 2

Menopause - 2ary

Hyperprolactinaemia - 2ary can also be 1ary ireg and absent periods

PCOS - 1ary or 2ary ireg or absent periods

Anorexia nervose - 1ary or 2ary absent

Cushings - 2ary oligo or absent periods

Congenital adrenal hyperplasia- 1ary oligo

Hypogonadotrophic hypogonadism - 1ary or 2ary absent

Premature ovarian failure - 2ary absent

Hypo-oestrogenism - 2ary absent

Question 3

Causes of Hypo-oestrogenism

Answer 3

Premature ovarian failure
Menopause
Hyperprolactinaemia
Treatment with GnRH analogues in endometriosis