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amenorrhoeaprofessor zouhair o amarin md, msc med. sci, fmgems, msc med. edu, frcog department of obstetrics and gy

Definition. Primary . No secondary sexual characteristics by the age of 14, or no menstruation by the age of 16. Secondary. No menstruation for more than 6 months in a normal female of reproductive age that is not due to pregnancy . Primary and secondary amenorrhoea may have mutually exclusive causes.

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amenorrhoeaprofessor zouhair o amarin md, msc med. sci, fmgems, msc med. edu, frcog department of obstetrics and gy

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    3. Primary

    4. No secondary sexual characteristics by the age of 14, or no menstruation by the age of 16

    5. Secondary

    6. No menstruation for more than 6 months in a normal female of reproductive age that is not due to pregnancy

    7. Primary and secondary amenorrhoea may have mutually exclusive causes

    8. Aetiology

    9. Reproductive outflow tract abnormalities

    10. Vaginal disorders

    11. Uterine disorders

    13. Hypothalamic/pituitary causes

    14. Continued pit/thal causes

    15. Drug induced hyperprolactinaemia

    20. Systemic causes

    22. History Developmental historyAge of menarcheCyclical symptomsChronic illnessWt lossExerciseAnosmiaMed and surg historyMenopausal symptomsCurrent medicationsF/h of premature menopauseVirilizing signs GallactorrhoeaPsychological historyStressful events

    23. Clinical examination

    24. Height

    25. Investigations

    26. Step 1

    27. Pregnancy test

    28. Step 2

    29. If PCT is negative:

    30. No bleeding; ? Outflow abnormality

    31. Step 3

    32. Bleeding:

    33. This should determine compartment

    34. PCOS

    35. PCOS is a syndrome of ovarian dysfunction

    36. Prevalence

    37. Aetiology is unclear

    38. Clinical features

    39. Laboratory tests

    42.

    43. Oligo/amenorrhoea:

    44. Hirsutism

    45. Subfertility

    46. Obesity

    47. Long term sequleae

    48. Thank you

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