amenorrhea and PCOS Flashcards Preview

Repro II > amenorrhea and PCOS > Flashcards

Flashcards in amenorrhea and PCOS Deck (13):
1

thelarche

onset of female breast development

2

pubarche

appearance of sexual hair

3

adrenarche

onset of androgen-dependent body changes such as hair, odor, and acne

4

primary amenorrhoea

failure to menstruate by age 16

5

secondary amenorrhoea

absence of menses >6months

6

common causes of primary amenorrhea

constitutional delay
chromosomal abnormalities
pit tumor
congenital adrenal hyperplasia
genital tract anomaly

7

if secondary sexual characteristics are slow to develop what Dx is likely

constitutional delay

8

visual field defect should think of what

pit tumor

9

virilsation should think of what

congenital adrenal hyperplasia

10

common causes of secondary amenorrhoea

hypothalamic (stress, weight change, post BC)
PCOS
premature menopause
hyperprolactinaemia
pregnancy

11

uncommon causes of secondary amenorrhoea

kallmans
sheehans
cushings
pit tumors
post encephalitis/trauma
thyroid disease
androgen producing tumors
ashermans syndrome
cervical stenosis

12

what is the LH:FSH ratio in PCOS

LH>FSH

13

Complications of PCOS

abnormal bleeding
infertility (anovulation)
increased risk of endometrial CA
incrased CRP
increased risk of DMII, HTN, HLD
increased risk of NASH
obstructive sleep apnea