Simple disorders

Question 1

Define primary amenorrhoea

Answer 1

Absence of periods that never occurred after 14 with secondary characteristics, after 16 without

Question 2

Define secondary amenorrhoea

Answer 2

Absence of periods that used to occur, after 3 months if cycles were regular, after 9 months if cycles were irregular

Question 3

Causes of primary amenorrhoea

Answer 3

Low weight, Mullarian agenesis, Vaginal atresia, Imperforate hymen

Question 4

Causes of secondary amenorrhoea

Answer 4

Weight loss, Interuterine adhesions, Pregnancy, Hypothyroidism

Question 5

Investigations of amenorrhoea

Answer 5

Oestrogen challenge, if there is a withdrawal bleed it suggests hormonal cause, If not it suggests outflow obstruction

Question 6

Define dysfunctional uterine bleeding

Answer 6

Heavy, frequent, prolonged bleeding

Question 7

Define menorrhagia

Answer 7

Heavy or prolonged menstrual periods