AMENORRHEA

Question 1

causes of amenorrhea

Answer 1

FAP T CPP
Brain - Functional hypothalamic Anovulation
Mouth- Anorexia nervosa
Eyes- Pituitary adenoma

Neck- Thyroid problems

Renals -C cushing syndrome
Ovaries - P COS
P primary ovarian failure

Asherman syndrome - nakaskas na uterus
sheehan syndrome - increased bleeding for
Fragile X

Question 2

Criteria for Diagnosis of PCOS

Answer 2

amenorrhea 6 months oligomenorrhea
Androgenism
Ultrasound positive

Question 3

Managment PCOS

Answer 3

CLOT M
Clomephine citrate if pregnancy wanted
Lifestyle changes dec BMI inc exercise to increase estrogen
OCP if does not want pregnancy
T ranexamic Acid
M etformin 500mg TID

DREAMS
Diet balanced
R refer to OB, nutritionist, exercise programs
E- xercise
A- avoid alcohols, fatty food
M medications
S stress free

Question 4

DD for dysmenorrhea

Answer 4

Fibrinoid
Endometriosis
PID