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  • Amenorrhea Improved

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    Criselda Charisse Reganion
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    This document discusses amenorrhea, or the absence of menstrual periods. It outlines steps for evaluating the potential causes of amenorrhea, including pregnancy testing, checking hormone levels, and conducting challenge tests. Based on the evaluation results, amenorrhea may be caused by issues like anovulation, hypoestrogenism, compromised outflow tracts, hypothalamic or pituitary failure, or Asherman's syndrome. Treatment options depend on the underlying cause and can include lifestyle changes, counseling, stress reduction, hormonal supplements, or surgery.

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    Amenorrhea improved

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    This document discusses amenorrhea, or the absence of menstrual periods. It outlines steps for evaluating the potential causes of amenorrhea, including pregnancy testing, checking hormone levels, and conducting challenge tests. Based on the evaluation results, amenorrhea may be caused by issues like anovulation, hypoestrogenism, compromised outflow tracts, hypothalamic or pituitary failure, or Asherman's syndrome. Treatment options depend on the underlying cause and can include lifestyle changes, counseling, stress reduction, hormonal supplements, or surgery.

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    © All Rights Reserved
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    4 views3 pages

    Amenorrhea Improved

    Uploaded by

    Criselda Charisse Reganion
    This document discusses amenorrhea, or the absence of menstrual periods. It outlines steps for evaluating the potential causes of amenorrhea, including pregnancy testing, checking hormone levels, and conducting challenge tests. Based on the evaluation results, amenorrhea may be caused by issues like anovulation, hypoestrogenism, compromised outflow tracts, hypothalamic or pituitary failure, or Asherman's syndrome. Treatment options depend on the underlying cause and can include lifestyle changes, counseling, stress reduction, hormonal supplements, or surgery.

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    © All Rights Reserved
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    of 3

    Amenorrhea

    DI WEN M.D., Ph.D.


    Professor and Chairman
    Department of Obstetrics and Gynecology
    Renji Hospital, affiliated to SJTU School of Medicine
    negative
    pregnancy test

    if normal TSH and prolactin levels:

    progesterone
    challenge test

    ANDROGEN INSENSITIVITY SYNDROME (AIS)


    with withdrawal bleeding without withdrawal bleeding

    positive estrogen and negative estrogen and


    progesterone challenge test progesterone challenge test
    hypoestrogenic compromised outflow tract
    ANOVULATION
    2 weeks

    normal FSH 30-40 < FSH normal FSH

    repeat + serum HSG or HYSTEROSCOPY


    repeat
    estrogen level OF ASHERMAN'S

    HYPOTHALAMIC PROF
    PITUITARY FAILURE
    TREATMENT
    Treatment varies depending on the causes of the amenorrhea.

    HOW TO TREAT AMENORRHEA


    Dietary changes Counseling for Stress reduction Hormonal Surgery
    eating disorders techniques supplements

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