Page 1 of 2: gynae---amenorrhoea

lazybonezzz · Credits: 54715 My Scrapbook

causes of progressive secondary amenorrhoea any1???

lazybonezzz · Credits: 54715 My Scrapbook

the options r---
1endometriosis
2uterine anomaly
3psychosomatic
4none
cudnt find this anywhere but i guess 1 is not a cause of sec.amenorrhoea
2 for eg---cervical stenosis d/t operation cud b corrected
now its b/w 3& 4
but again 3 is not cited as a cause anywhere so is i 4???

manpreet108 · Credits: 30682 My Scrapbook

i would go for none .

pratik · Credits: 11374 My Scrapbook

i would like to go for psycosomatic disorder.

etiology of secondary ammenhorrea

Secondary amenorrhea is the absence of menstrual periods for 6 months in a woman who had previously been regular, or for 12 months in a woman who had irregular periods.

This problem is seen in about 1% of women of reproductive age.

Primary amenorrhea is when the woman has never had a period in her life. This page will not discuss primary amenorrhea which is rare. The causes of primary amenorrhea are also quite different from secondary amenorrhea.

The most common cause of secondary amenorrhea in reproductive age women is pregnancy and this should always be excluded by physical exam and laboratory testing for the pregnancy hormone - HCG.

History

A good history can reveal the etiologic diagnosis in up to 85% of cases of amenorrhea.

.

Any history of galactorrhea (milky discharge from the breasts) is important and indicates the need for a prolactin hormone level to rule out hyperprolactinemia.

A woman who has had hot flashes, breast atrophy and decreased libido along with her amenorrhea may have premature ovarian failure.

Certain medications such as phenothiazines (used for psychiatric disorders) and some narcotics can cause amenorrhea, usually in association with an elevated prolactin and galactorrhea.

A large amount of weight loss or gain can also lead to anovulation - as can stress or extensive exercise. Anorexia nervosa is often accompanied by secondary amenorrhea.

Both Cushing's disease (over activity of adrenal glands) and hypothyroidism (under-functioning thyroid gland) can cause amenorrhea.

If the patient has a history of severe postpartum hemorrhage (very heavy bleeding after a delivery), she may have pituitary insufficiency from infarction (Sheehan's syndrome).

When amenorrhea follows a D&C (dilation and curettage) one should suspect intrauterine adhesions (Asherman's syndrome), particularly if the procedure was pregnancy related.

Asherman's can also occasionally be seen following other types of uterine surgery such as metroplasty, myomectomy or cesarean section.

Amenorrhea following cervical conization can be due to procedure related cervical stenosis.

Following discontinuation of oral contraception some women will not have periods for up to several months. However, the reported incidence for amenorrhea lasting more than 6 months after the pill is stopped is 0.8% which is essentially the same as the incidence of amenorrhea in the general population. Therefore, amenorrhea of greater than 6 months duration after oral contraceptive use is not related to the pill use

lazybonezzz · Credits: 54715 My Scrapbook

pratik u mean to say its coz of medication given 4 psychosomatic disorder.well here the option is jus psychosomatic .arent we going a bit too far???
its not the same thing.
& wats progessive sec amenorrhoea exact;ly?

manpreet108 · Credits: 30682 My Scrapbook

whats the ans given lazy??

under psychosomatic cause of sec amennorhea --they mite be talking bout whats mentione don dutta as pseudocyesis--that also has a psychological base.

lazybonezzz · Credits: 54715 My Scrapbook

ans given is none
now im gettin confused mp

lazybonezzz · Credits: 54715 My Scrapbook

found this on the net---pseudocyesis resolves quickly once proper counselling is done so i guess none shud b the answer.any1 has any info bout this?

guest · Credits: 79189 My Scrapbook My Reading List 262569 Books

Progressive secondary amenorrhea occurs in ovarian failure (generalized ovarian sclerosis with decrease of follicles - a process similar to that seen in normal menopause)

It needs to be confirmed

lazybonezzz · Credits: 54715 My Scrapbook

uh huh???
wat needs 2b confirmed &also pls give a ref?
so ur saying the ans here is none???

		Sign In New User? Sign Up Sign in to access your control panel and messenger!
				TechZone \| SpiderNevi \| HowTo? \| Scrapbook!