Primary amenorrhoea: no menstruation by 14 years of age in the absence of secondary sexual characteristics; or failure to menstruate by 16 years of age. Secondary amenorrhoea: amenorrhoea for at least 3 months in women with previous normal menses
» Body mass index.
» Urine pregnancy test.
» Pelvic ultrasound.
» Serum for TSH, FSH, LH, prolactin.
FSH > 15 units/L in a young woman (< 40 years) suggests premature ovarian failure.
LH/FSH ratio of > 2:1 suggests polycystic ovarian syndrome.
For treatment of hyperprolactinaemia, hypo- or hyperthyroidism, see Chapter 8: Endocrine System.
If no cause for secondary amenorrhoea is found:
- Medroxyprogesterone acetate, oral, 10 mg daily for 10 days.
o Anticipate a withdrawal bleed 5–7 days following conclusion of treatment.
» All cases of primary amenorrhoea.
» Secondary amenorrhoea not responding to medroxyprogesterone acetate.
» Polycystic ovarian syndrome and premature ovarian failure, for further evaluation.Click Download bellow to download Omokoshaban.com News Updates, and Education Mobile App. SUBMIT YOUR POST TO US. Omokoshaban.com only accept latest news, latest Story and educational contents in all field of education. We don't accept copy contents, as such don't copy any content to us.