Amenorrhoea

Question 1

Common causes of amenorrhoea

Answer 1

PCOS
Premature menopause
Hypothalamic amenorrhoea

Question 2

Hypothalamic amenorrhoea treatment

Answer 2

HRT because dont want the patient to get osteoporosis

And try to correct the weight loss

Question 3

PCOS - features

Answer 3

LH is higher
Anovulation
USS - pearl necklace appearance

Question 4

PCOS treatment aims

Answer 4

to get 4-6 periods a year so not exposed to unopposed oestrogen

Done with COCP/Pop if not trying to get pregnant

Clomifene if trying to get pregnant

Question 5

Premature ovarian insufficiency/ premature menopause features

Answer 5

Before the age of 40
FSH is raised
Oestrogen low
Menopausal symptoms

Question 6

Premature ovarian insufficiency treatment

Answer 6

Give HRT until the natural age of menopause (around 50)

Rule out autoimmune disorders e.g. pernicious anaemias and thyroid function as there can sometimes be an overlap with these conditions