How we can diagnosis a case of primary amenorrhoea?
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Diagnosing primary amenorrhea (the absence of menstruation by age 15 or within three years of the onset of puberty) involves several steps: 1. Medical History: Gathering detailed information about the patient's menstrual history, growth patterns, and any signs of puberty (such as breast developmentRead more
Diagnosing primary amenorrhea (the absence of menstruation by age 15 or within three years of the onset of puberty) involves several steps:
1. Medical History: Gathering detailed information about the patient’s menstrual history, growth patterns, and any signs of puberty (such as breast development and pubic hair growth).
2. Physical Examination: Assessing physical development, including checking for secondary sexual characteristics and any signs of hormonal imbalances.
3. Blood Tests: Measuring levels of hormones such as follicle-stimulating hormone (FSH), luteinizing hormone (LH), thyroid-stimulating hormone (TSH), prolactin, and androgens to check for hormonal disorders.
4. Imaging Tests: Using ultrasound to examine the reproductive organs for any structural abnormalities. In some cases, MRI may be used to check for pituitary or hypothalamic disorders.
5. Karyotyping: Analyzing the patient’s chromosomes to identify any genetic conditions, such as Turner syndrome, that might be causing the amenorrhea.
A comprehensive evaluation by a healthcare provider, often a specialist in reproductive medicine, is essential to determine the underlying cause and develop an appropriate treatment plan.
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