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Flashcards in Amenorrhea (Primary) Deck (12):
0

Definition of primary amenorrhea?

No menses by age 16

1

Most common causes of primary amenorrhea if normal breast development?

Mullerian agenesis and androgen insensitivity

2

Patient with primary amenorrhea and born with only one kidney – likely diagnosis?

Mullerian agenesis (significant fraction of these patients will have urinary tract abnormality)

3

Patient with primary amenorrhea and scant hair?

CAH

4

Patient with primary amenorrhea and absence of breast development?

Gonadal dysgenesis (turner syndrome)

5

46 XX female with congenital absence of uterus, cervix, and fallopian tubes? Do have what anatomical parts?

Mullerian agenesis; Ovaries (ovaries are not Mullerian structures)

6

Three most common causes of primary amenorrhea?

Pregnancy, androgen insensitivity, Mullerian agenesis

7

Differences: Mullerian agenesis versus androgen insensitivity? (3)

1. Normal hair versus absent hair
2. Normal testosterone versus high testosterone
3. XX versus XY

8

Complications of CAH? Prophylaxis? (When? Why then?)

Malignancy of intra-abdominal gonads

Gonadectomy after puberty (to allow for breast development and when you grow)

9

20-year-old patient with primary amenorrhea and Tanner stage one breast development – likely diagnosis? Complication?

Gonadal dysgenesis; gonadal malignancy

10

Teenage patient with absence of breast development and short stature – karyotype reveals 46 XX – diagnosis?

Gondal dysgenesis (can also happen in XY pt)

11

Kallmann syndrome?

1. Lack of smell
2. Hypogonadotrophic hypogonadism (deficiency of GnRH)