Page No.

25
Date 26/5/23
Dysmen041 hoea
T 1S PauntuU menstYuation of suffuet magni hude so ds
to incapaa taje day to day1ativHesbld Sus
paimy dysmenoBshoca Secondaiy ysmon0noea
Causes psy chos0rmaHc fators d " chionncipelve infechons
to ns1on &
ariehy duaing pelvcendomenHs
Pun adolscence) Weineftbaod
Woinn myomemal hypuauivty Endometri alpolgp
o SKNOGIs nnouO) ng of CM(a an " Î0CD In utuo

Septae| bicomuate weus

high 1eel o vasoprin

" Pan bgins a tew hos befrt "þuu pain «t ba tk in frortIpA

uvuca
katsEor just uOTth onset ofmensuas APpequs sS days before ee
. Spasmodic pan confned to Pod te subsides Lohen bleeding
lowe cbdomnen LKIVCOO Sas
Nausea. d asihoea vomitingy. No sy stemc discom fort
headahe may peent pelne patholo84
2opelic (ab ekam- no findingst Abd exajYa ofending leND

nshqasios Uss, LapaOScO Py Drlapasctomy

IeaJment Bouwel Showd kept empty treat Ahe caLUse3

Ubung mense urlsh gnuoot
TAB MEFTAL SPAS 1 BDTBS
TAB BRUrEN 40 OMS16D DS
6 TAB 2ERO
DOL P q4BD U
1AB DECVAutslb biarprl
1A8 pyN APERq4BDprbassh
" pilatai on

aripaesauu newetomy
 Page No,26
ek (02:

o9cdton9reyd Date.
Janu

Definiton
to Causesz49 Temet
6 DUin9 adolscene
cyieal bleedng
cycle PAe Ceeding mehopause progesins -
Polymeno whae te to D "folloong cuuvyinbrethi stej one accto
5hoeas pdu ed
200abiLay imit (Sng ros 7days
Less Fhn 21 days
nd emaunsconstat o PID CIDmg TDs31daus3
at that 52quenty Hypesimulai on o IO
vcuuty pitu tasy
hosrmones slaUArod olqp2

mtrossh Iigqulas .aycina DUB Bdg) TARat he cause

2oo Ca ceuvX Caehdomeum Y

4929cq
nosihoea ocunngmdre tha
oih ermwns " TubQular endomemhs
Consiant a that is
PAeetedinq munopauseyart
Faeny tollousing delivey aaboifon
A9 cuO8
NIUS Def
Hypo med ohen menstrua
Sihea bleding in unduy
&lats
"1Wbextulan'
Use
oE0P e ndonenislaAeate case
forleshyiod dystunchons
Paeecedjng 34
8AT

menopause AVa 9nT

Shrikrupa malnutation nVOD
 Page No 27
Date.

AmendANhDeabo2 Pathophyáolbay9
Absenceo menstuaHOn " T4 Hhe site o obsiruton 1s\oo doon
inthe vagiva the aumulatd bloDd
CUIal types A) physioloqica res in hemctodposhematDmta

DUing
AHUS mthop auseu)
BUfort pLbityA it will pyoduce hematometa ’
4
hematosalpin UuT
B) pand og1calstat
orinca feausugrvaD
" The gis aqedqbout 1446
peioduc (owe abdo nal paun
3 setondaxy Pamasy amenoLhoea
Wsinasy symptoms Ulee frequencyyri
dyswsia a RenRetnthon
JE 1s a ondi t On ohere the
menstual blood Faulto come ot a Al era -supaapwbic swelung
rom tro guutau rat ue torvuta fnspeui-ltnsebulging
Dblo bushCo\rahena
ObsuHon in passage
e inusion 4
Causes a congenial- im perfo3aUe hymen TAeatment-cuu
duto eviCal stnost S Urugo dAainage3of blobd starirt
b) aquised-
2neose cOndaynamenasihea
am enoAhoea
pamasy
not yetabor Tt-8lsorabsen cesof- menstruat
Defmito Aybng ghtoho has montheor moe 2o a
menstzuated byheut6 ys of cqdfor 6
1 amenoRRhoea athewomen in oh em noma
haMng menashe Theomensruation hasubeen
han delayed estab tished
hosma ubpert ageowit foY
menashe 15 15 yrs
Shrikrupa
 h W
Page No 23
Date

paimasy amenoashoea seton dasy am enoAahhen

Tubejulas endomn A
uses
Delayed puberty
Gonaddiropìn defiuenuy ue b
proB to'stress Loeght tossSt PAematwse ovalan fajl
prtvrei PAola ciin oma
Cushing dúseaseOHN
Acrom egaly o9
" Impu foraued hymen " Infechon (Po brLg
Complee abstnce 0f Vagina Thysond aysthuhrton
" maununtionTB nephnhs D
Vobro39 2

si mitaito pmay

o Uaau mRI to elude

AS 1eS\on

Treadto Agenesis of vagmna

vagnu
heconstuction 2ePAOlainoma ol- Bromocaptne
anhidiabetie du
PAgestDne for breast olevelopm PC0s -
PAolathnorna- Brornocripine 2rl combined op it
oSuno Coneshed
tumoYs- qomphene itreue ifp
Shrikrupa
$agicaeusion orEthinyl
aaly
0estadi o) 002
for 25 days
 fuhchonal
Dys 8ee ding Page No, 2g
DUB Date31 /S 33
of abnommal Weine
Astate
blecding wthout ny cüvUCaly Infuiuhy
dertable OAgnc SysBeue faulwe to coneve1u Hn ohe
Irogenc Causes or mDYe yeas ot KeqaA
nprotetted co hus
ovulaybleedingdf Typ 3430bYd
Pslmay denois Hhosepahens
b Ougomenoshoea Oho hae neves conceived
( menosxhagia (elcedi ng } 7days) second asy inducates
PAgnancy but tUle to
os Dy Anowlas blesdung Conceive$ub5equntly . 9 r

bmychypuplasiaooith symmehnal Causes or Snfeah uty

enlasgement offhe wosd
40-5 5-female ) 8Rb
C cysic changes In ovay
Aendomelhd arophy 107.r both

investdthonssip houpshn
pluc puheou CAUses of male infelHLy
Bimahual exa to ercude Conqenita) -4undescendedrtre
92LUD CBC Ahynond Profilehni funchon &spem
(DiLatahon CWsclage) 2 I0S3 fàjuy
USG TVS ColDr clopplea mohuh
3- Hyp0Sp adias
Hiysteaoscopy hystsogiaphy
sUotatemp
Thearma tato t
Inoconditi n suh as
Ralsed
Keament " PAogestins yasicocelell
(3monh
"Danazol 2.60400Mg day
TAaneXamc aúdso0ma 1DS muM orhutis
Tnfechon VBal infection
meeneyc aúd4 o-600 MgTDS oBateuu o amydia
" Uteine uretaye chl
asma 0fection
howahs jn
ho