Secondary Amenorrhea Flashcards
What is primary amenorrhea?
failure of menarche to appear
what is secondary amenorrhea?
absence of menses for 3 consecutive months in women who have passed menarche.
what is the most common cause of amenorrhea in premenopausal women?
pregnancy
how does hypothalamic-Pituitary causes influence amenorrhea?
low level of GnRH affecting FSH and LH
how does hyperandrogenism affect amenorrhea
elevated levels of testosterone
how does uterine issue relate to amenorrhea
changes to the endometrial tissue could prevent menstrual bleeding
when would menopause be “premature”
before 40
when is early menopause?
before age 45
what is the normal age range for menopause?
48 to 55
what are some labs you are running for amenorrhea ?
hcg
FSH
LH
TSH
prolactin
testosterone (if hirtuism is present)
what imaging would you do for amenorrhea?
transvaginal ultrasound
MRI
treatment for amenorrhea?
depending on the cause. either non estrogen or estrogen therapy.
what are some complications of premature menopause?
increase risk of coronary artery disease, stroke, and overall mortality,
