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Tuesday, 19 November 2013

Menstrual Disorders - Amenorrhea - Types and Diagnosis of primary amenorrhea

Amenorrhea is defined as delay or absence of menstruation in a woman reproductive years. Women who have a delay or absence of period used to think that they may be pregnant, in fact, there are many reasons of amenorrhea.

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Type of Amenorrhea
There are 2 types of amenrrhea:
1. Primary amenorrhea
Primary amenorrhea is defined as no period by age 16 and
2. Secondary amenorrhea
Secondary amenorrhea is defined as period beginning at the appropriate age, but later stops for more than 3 cycles or 6 months.
Diagnosis and test for primary amenorrhea
Physical exams and tests will be important to rule out any visual and non visual abnormal structure, including sexual development, including pubic hair, should be evaluated for the presence of a uterus and vagina that can cause amenorrhea. Genetic testing is required also to rule out the case of genetic cause of primary amenorrhea.
1. Hypogonadotropic hypogonadism
Is defined as a condition of Hypogonadotropic hypogonadism is absent or decreased function of the female ovaries presented prior to or after the completion of puberty due to due to a problem with the pituitary or hypothalamus gland in FSH and LH production that can lead to Kallmann syndrome causing amenorrhea.

2. Hypergonadotropic hypogonadism
Hypergonadotropic hypogonadism is a condition of the elevated levels of follicle stimulating hormone FSH and LH characterize hypergonadotropic hypogonadism with low estrogen production, as a result of ovarian failure.

3. Etc.
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