{"id":393,"date":"2024-10-25T17:47:22","date_gmt":"2024-10-25T17:47:22","guid":{"rendered":"https:\/\/kankarbagh.com\/dorothy\/?p=393"},"modified":"2024-10-26T08:09:37","modified_gmt":"2024-10-26T08:09:37","slug":"22-amenorrhea","status":"publish","type":"post","link":"https:\/\/kankarbagh.com\/dorothy\/2024\/10\/25\/22-amenorrhea\/","title":{"rendered":"22. Amenorrhea"},"content":{"rendered":"

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22. Amenorrhea<\/strong><\/p><\/blockquote><\/figure>\n\n\n\n<\/iframe>\n\n\n\n<p>Hi guys I am back with another video , in this video we will be discussing about the amenorrhea, so what Is amenorrhea? Amenorrhea means absence of menses. Now let us recall the events of puberty , the first event of puberty is the physical growth . The specific eve events of puberty for girls are : Thelarche that is breast development, pubarche that is growth of pubic and axillary hair , sudden linear spurt in height , followed by periods or menarche . The normal age of puberty is from 10 to 12 years. Now amenorrhea can be divided into two types. One is primary amenorrhea and the second is secondary amenorrhea . What is primary amenorrhea? It basically means delayed puberty that can be seen in a teenager that is a child who has never got her periods . Now how do we know if that girl is going through delayed puberty ?, absence of menstruation till 13 years if there is an absence of the secondary sexual characters . Absence of menstruation till 15 years if there is a presence of the secondary sexual characters. Now let us know the diagnosis: the first one is pregnancy test , examination should be done which includes the examination of breast development , pubic hairs and the vaginal development. Third one is Rule out the uterine absence by doing the per vaginal examination , the test which can be done here includes LH , FSH , CBC , Karyotype, ultrasound . Let us know more about primary amenorrhea: secondary sexual characters if present but there are no uterus causes complete mullerian agenesis , now if the uterus is present but the defects are anatomical . The defects can be transverse vaginal septum , imperforate hymen. In case of normal anatomy it can cause due to increased hypothyroidism , increase In LH and FSH , decrease in LH and FSH.<br>Now let us discuss more about the secondary amenorrhea , in case of secondary amenorrhea if the pregnancy test is negative rule out the hyperthyroidism and hyperprolactinemia , do the progesterone challenge test . If periods occur then it is PCOD and if periods doesn\u2019t occur we have to do the estrogen + progesterone challenge test . Now in this test if there are periods and it is the case of increase in LH and FSH which causes pre mature ovarian failure . decrease in LH and FSH causes CNS tumors , chronic illness. And if there are no periods we have learnt earlier that it is the case of Asherman syndrome . Let us come to know about the common Etiology of secondary amenorrhea , they are : pregnancy , hypothyroid, chronic illness , hyper prolacemia, thyroid diseases, PCOS ,cushing\u2019s syndrome. This is all about this topic , thank you !<\/p>\n<\/body>","protected":false},"excerpt":{"rendered":"<p>22. Amenorrhea Hi guys I am back with another video , in this video we will be discussing about the amenorrhea, so what Is amenorrhea? Amenorrhea means absence of menses. Now let us recall the events of puberty , the first event of puberty is the physical growth . The specific eve events of puberty […]<\/p>\n","protected":false},"author":1,"featured_media":394,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[19],"tags":[],"class_list":["post-393","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-obst-gyn"],"_links":{"self":[{"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/posts\/393","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/comments?post=393"}],"version-history":[{"count":2,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/posts\/393\/revisions"}],"predecessor-version":[{"id":562,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/posts\/393\/revisions\/562"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/media\/394"}],"wp:attachment":[{"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/media?parent=393"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/categories?post=393"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/tags?post=393"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}