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Is there galactorrhea? Of course, the most common cause of galactorrhea would be the galactorrhea following pregnancy and delivery. However, if there is galactorrhea, one should consider the possibility that the ... DIAGNOSTIC WORKUP
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Amenorrhea (absence of menses) can be transient, intermittent, or permanent. It may result from dysfunction of the hypothalamus, pituitary, ovaries, uterus, or vagina. Primary amenorrhea is the absence of menarche by age 16; secondary amenorrhea... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Secondary amenorrhea is the absence of menses for 6 months in a woman with previously regular menstrual cycles, or 12 months in a woman whose periods had been irregular.
Differential Diagnosis
Pregnancy
– ... Workup and Diagnosis ... Treatment
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Menarche occurs at an average age of 12.7 years in the U.S. Primary amenorrhea occurs when menarche remains absent at age 16, or if 5 years have passed since the onset of puberty and menarche has not begun.
Differential Diagnosis
... Workup and Diagnosis ... Treatment
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... Combining the anatomy of the female genital tract with the endocrine system will key in on the major sources of absent or diminished menstrual flow. It is perhaps best to begin at the bottom and work upward to the head.
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... In most women, menstrual bleeding occurs every 28 days, plus or minus 4 days. Although some variation is normal, menstrual bleeding at intervals of greater than 36 days may indicate oligomenorrhea — abnormally infrequent menstrual bleeding characterized by three to... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... The absence of menstrual flow, amenorrhea can be classified as primary or secondary. With primary amenorrhea, menstruation fails to begin before age 16. With secondary amenorrhea, it begins at an appropriate age, but later ceases for 3... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Hypothalamic and Pituitary Causes
Androgen excess
Chorionic gonadotropin-secreting tumors
Chronic debilitating diseases (e.g., liver disease, uremia, regional ileitis)
Congenital
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... Amenorrhea is the abnormal absence or suppression of menstruation. Primary amenorrhea is the absence of menarche in an adolescent (by age 18). Secondary amenorrhea is the failure of menstruation for at least 3 months after normal onset of menarche.
... Diagnosis ... Treatment ... Special considerations ... Pictures
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... In most women, menstrual bleeding occurs every 28 days plus or minus 4 days. Although some variation is normal, menstrual bleeding at intervals of greater than 36 days may indicate oligomenorrhea—abnormally infrequent menstrual bleeding... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling
... READ EXCERPTS »
... The absence of menstrual flow, amenorrhea can be classified as primary or secondary. In primary amenorrhea, menstruation fails to begin before age 16. In secondary amenorrhea, it begins at an appropriate age but later ceases for 3 or more months... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... L. Allen Dobson, Jr.
Pregnancy is the most common cause of amenorrhea. Evaluation and diagnosis of the other causes of amenorrhea are possible by use of a simple workup scheme (section V).
Approach ... History ... Physical examination ... Testing ... Diagnostic assessment ... Pictures
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... Differential Overview
❑ Pregnancy
❑ Menopause
❑ Functional hypothalamic amenorrhea
❑ Drugs
❑ Anorexia nervosa
... Diagnostic Approach ... Clinical Findings
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... In most women, menstrual bleeding occurs every 28 days plus or minus 4 days. Although some variation is normal, menstrual bleeding at intervals of greater than 36 days may indicate oligomenorrhea — abnormally infrequent menstrual bleeding characterized by three to... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ EXCERPTS »
... The absence of menstrual flow, amenorrhea can be classified as primary or secondary. With primary amenorrhea, menstruation fails to begin before age 16. With secondary amenorrhea, it begins at an appropriate age but later ceases for 3 or... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ EXCERPTS »
... In most women, menstrual bleeding occurs every 28 days, plus or minus 4 days. Although some variation is normal, menstrual bleeding at intervals of greater than 36 days may indicate oligomenorrhea—abnormally infrequent menstrual bleeding characterized by three to... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ EXCERPTS »
... The absence of menstrual flow, amenorrhea can be classified as primary or secondary. With primary amenorrhea, menstruation fails to begin before age 16. With secondary amenorrhea, it begins at an appropriate age, but later ceases for 3 or more months in the absence of normal... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
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Combining the anatomy of the female genital tract with the
endocrine system will key in on the major sources of absent or diminished
menstrual flow. It is perhaps best to begin at the bottom and work upward to
the head.
... Pictures
... READ EXCERPTS »
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