28 - Amenorrhoea Flashcards
1
Q
Definition of amenorrhoea?
A
Cessation of menstruation for 3-6 months in women with previously normal and regular menses
2
Q
What are the first 2 physiological causes of amenorrhoea that should be ruled out first?
A
Pregnancy
Lactation
3
Q
Amenorrhoea + associated headaches + galactorrhoea = ?
What test immediately indicated and why?
A
Pituitary tumour
- prolactin level to check for prolactinoma
4
Q
When is an MRI brain appropriate in presence of amenorrhoea, headaches, galactorrhoea and why?
A
With visual field defects, typically a bitemporal hemianopia
- this may be caused by a macroadenoma
