AMENORRHEA

  • A girl presents with; primary amenorrhea; grade V thelarche, grade II pubarche; no axillary hair: likely diagnosis is Testicular feminisation syndrome
  • A female presents with primary amenorrhea and absent vagina, the next investigation to be done is Laparoscopy
  • Lactational amenorrhea is due to Prolactin induced inhibition of GnRH
  • Turner's syndrome,Kallman's syndrome, Testicular feminisation syndrome & Mayer Rockitansky Kuster Hauser Syndrome are associated with primary amenorrhea
  • Physiological amenorrhea is present in Pregnancy, Lactation & Pre-puberty
  • Asherman's syndrome is characterized by Amenorrhea
  • Primary amenorrhea is when Menstruation does not occur even after 15 year of age
  • A 20 year old young girl, presents with history of rapidly developing hirsutism and amenorrhea with change in voice. To establish a diagnosis Testosterone will be tested in blood 
  • A woman treated for infertility, presents with 6 week amenorrhea with urinary retention. The most likely etiology is Impacted Cervical Fibroid
  • 18 year old girl presents with amenorrhea, anorexia, weight loss and with milk discharge from the nipples shows diagnosis of Anorexia nervosa
  • A female has history of 6 weeks amenorrhea, USG shows empty sac, serum 13 hCG 6500IU/L will be managed with Medical management
  • A 19 year old patient with Primary amenorrhea, well developed breast and pubic hair,but absence of vagina and uterus. Likely diagnosis is Mullerian agenesis
  • A 21 years female of 143 cm height present primary amenorrhea, absent breast, Cubitus valgus can have Turner's syndrome
  • Primary Amenorrhea with normal ovaries normal external genitalia and normal breasts is seen in Mayer-Rokitanski- Kuster - Hauser Syndrome
  • Amenorrhea and galactorrhea with increased prolactin reveals Pituitary adenoma in CT of the head 
  • Acne, amenorrhea and diabetes are some common manifestations in Cushing Syndrome
  • In POEMS syndrome Amenorrhea in women and impotence and gynecomastia in men is seen
  • 21 hydroxylase deficiency is the commonest cause of primary amenorrhea with ambiguous genitalia in a female with 46XX chromosome
  • A lady comes with 8 weeks amenorrhea, shock & past history of TB diagnosis is Ruptured ectopic
  • A woman presents with amenorrhea of 6 weeks duration and lump in the right iliac fossa. Investigation of choice is USG abdomen
  • Menstrual regulation is done upto 49 days of Amenorrhea
  • Webbing of neck, short stature, increased carrying angle, low posterior hair line, primary amenorrhea and short fourth metacarpal are characteristics of Turner syndrome
  • First symptom of pregnancy is Amenorrhea
  • A young female with 2 month amenorrhea presents with sudden abdominal pain with adnexal mass, urine pregnancy test is positive. Most likely diagnosis is Ectopic pregnancy
  • A 28 year old patient complains of amenorrhea after having dilatation & curettage.The most likely diagnosis is Asherman's Syndrome
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