Investigation and treatment of primary amenorrhoea
نویسنده
چکیده
Primary amenorrhoea is most commonly caused by constitutional delay or genetic or structural factors. However, any cause of secondary amenorrhoea can also present before menarche and lead to primary amenorrhoea. This review addresses the path of normal puberty and the causes and appropriate investigations and treatments of primary amenorrhoea in a systematic manner. The importance of considering the oestrogen state of the woman is stressed to ensure that, where necessary, replacement therapy is given to maximize bone mass and reduce the life-time risk of fractures.
منابع مشابه
Primary amenorrhoea: investigation and treatment
Primary amenorrhoea is a symptom with an extensive list of underlying causes, the majority of which are rare. By definition it should present in adolescence, although some conditions diagnosed in childhood may anticipate the failure of onset of menstruation. Many causes of secon dary amenorrhoea can also present with primary amenorrhoea if they arise sufficiently early. This review addresses s...
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