Notes in 01_Amenorrhoea

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Published	02/10/2024	{{c1::Primary Amenorrhoea}} is {{c2::when the patient has never had a period by 16 years of age}}
Published	02/10/2024	Causes of {{c2::Primary Amenorrhoea}}{{c1::Outflow abnormalities: Mullerian agenesis}}{{c1::Ovarian disorders: Gonadal dysgenesis e.g. Turner’s Syndro…
Published	02/10/2024	{{c1::Secondary amenorrhea}} is defined as {{c2::no menstruation for more than six months after previous regular menstrual periods}}
Published	02/10/2024	Causes of {{c2::Secondary Amenorrhoea}} {{c1::Anorexia, Extreme Exercise and Stress}} {{c1::Pregnancy, Menopause, and usage of Hormonal contraception …
Published	02/10/2024	Describe the Pathophysiology of Hyperprolactinaemia and Secondary Amenorrhoea{{c1::High prolactin levels prevent the release of GnRH therefore in…
Published	02/10/2024	{{c1::IGF-I}} is used as a screening test for Primary Amenorrhoea caused by Growth Hormone deficiency
Published	02/10/2024	Diseases that cause Raised Testosterone leading to Amenorrhoea{{c1::Polycystic Ovarian Syndrome}}{{c1::Androgen Insensitivity Syndrome}}{{c1::Congenit…
Published	02/10/2024	Genetic testing for Primary Amenorrhoea is with {{c1::microarray}} test for {{c1::Turner’s syndrome (XO)}}
Published	02/10/2024	Secondary Amenorrhoea is investigated {{c1::three}} to {{c1::six}} months after onset
Published	02/10/2024	Secondary Amenorrhoea due to high {{c1::Prolactin}} levels is associated with symptoms such as {{c2::Galactorrhoea}} and {{c2::Visual Changes}}
Published	02/10/2024	Secondary Amenorrheoa due to high {{c1::Androgen}} levels is associated with symptoms like {{c2::Acne}}, {{c2::Hirsutism}}, {{c2::Voice Change}}
Published	02/10/2024	In ruling out causes of Secondary Amenorrhoea, {{c1::Low oestradiol}} and {{c1::High FSH}} levels are indicative of {{c2::Menopause}}
Published	02/10/2024	In ruling out causes of Secondary Amenorrhoea, {{c1::High FSH}} is indicative of {{c2::Primary ovarian failure}}
Published	02/10/2024	In ruling out causes of Secondary Amenorrhoea, {{c1::High LH}} is indicative of {{c2::Polycystic ovarian syndrome}}
Published	02/10/2024	In ruling out causes of Secondary Amenorrhoea, {{c1::High TSH}} and {{c1::Low T3 & T4}} are indicative of {{c2::Hypothyroidism}}
Published	02/10/2024	In ruling out causes of Secondary Amenorrhoea, {{c1::Low TSH}} and {{c1::High T3 & T4}} are indicative of {{c2::Hyperthyroidism}}
Published	02/10/2024	In ruling out causes of Secondary Amenorrhoea, {{c1::Testosterone}} and {{c1::Sex Hormone Binding Globulin (SHBG)}} levels are tested for {{c2::Polycy…
Published	02/10/2024	In ruling out causes of Secondary Amenorrhoea, {{c1::17 Hydroxy Progesterone}} levels are tested for {{c2::Congenital adrenal hyperplasia}}
Published	02/10/2024	{{c2::Fragile X}} testing is done to rule out {{c1::Premature ovarian insufficiency}} as a cause of Secondary Amenorrhoea
Published	02/10/2024	In managing Primary Amenorrhoea, {{c1::Pulsatile GnRH}} is given for patients that desire pregnancy by inducing ovulation and menstruation
Published	02/10/2024	In managing Primary Amenorrhoea, {{c1::Combined contraceptive pill}} is given for patients who do not want pregnancy to induce menstruation and p…
Published	02/10/2024	In managing Secondary Amenorrhoea, offer {{c1::Hormonal Replacement Therapy}} for premature ovarian insufficiency to protect against oestrogen depriva…
Published	02/10/2024	In managing Secondary Amenorrhoea, offer {{c1::Dopamine agonists e.g. bromocriptine, cabergoline}} for prolactinoma
Published	02/10/2024	In managing Secondary Amenorrhoea, offer {{c1::Medroxyprogesterone}}, {{c1::Combined hormonal contraceptive}} or {{c1::LNG-IUS i.e. Mirena coil}} to s…
Published	02/10/2024	Women with polycystic ovarian syndrome require a withdrawal bleed every {{c1::3}} – {{c1::4}} months to reduce the risk of {{c2::endometrial hyperplas…
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