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A full medical history, clinical examination and appropriate investigations
are organised with particular reference to the possible causes of
amenorrhoea (Table 6.1). A family history of premature menopause or
autoimmune disease (Q12.17)
may focus attention on these areas. Your doctor will wish to know whether
there is an associated infertility problem or need for contraception as this
will influence management.
Table 6. 1 Some of the more frequent causes of amenorrhoea:
|
System or organ |
Pathology |
Question
Number | |
Physiological (natural)
|
(Pre-puberty, pregnancy, lactation and menopause |
6.1
| |
Generalised ill health |
Stress |
6.8
| |
|
Weight loss e.g. anorexia |
6.8
| |
|
Diabetes |
7.3
| |
|
Thyroid disease |
24.9
| |
|
T.B.
|
20.12
| |
Pituitary / Hypothalamus
|
Hyperprolactinaemia |
6.10
| |
Gonads (usually ovaries) |
Polycystic Ovary Syndrome |
7.2
| |
|
Hormone secreting tumours |
8.9
| |
|
Turner's Syndrome
|
6.13
| |
|
Testicular Feminisation |
6.14
| |
|
Resistant Ovary Syndrome |
6.15
| |
|
BSO (Removal of both ovaries)
|
24.23
| |
Uterus |
Congenital Absence |
3.3
| |
|
Hysterectomy |
24.22
| |
|
Asherman's Syndrome
|
6.18
| |
Vagina |
Imperforate Hymen |
6.4
| |
|
Congenital Absence |
3.3
|
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Thank
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This is the personal website of David A Viniker MD FRCOG, retired Consultant Obstetrician and Gynaecologist - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT. I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.
- Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.
I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.
The aim of this web site is to provide a general
guide and it is not intended as a substitute for a consultation
with an appropriate specialist in respect of individual care and
treatment.
David Viniker retired from active clinical practice in 2012. In 1999, he setup this website - www.2womenshealth.com - to provide detailed
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