Re: Secondary amenorrha

From: bmsu.ac.ir (m.kermani@http://www.bmsu.ac.ir)
Wed May 10 06:27:38 2000


The other things I shoud add to the history are: 1)her genital examination is normal 2)she isn't hirsute 3)she is relatively fat -------------------------------------------- MANSOUREH KERMANI M.D -------------------------------------------- TEHRAN,IRAN --------------------------------------------

>----- Original Message -----
From: DoctorJoe@aol.com To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> Sent: Tuesday, May 09, 2000 8:47 PM Subject: Re: Secondary amenorrha

>
> In a message dated 5/9/0 2:40:26 PM, you wrote:
< A 20 yr virgine girl came to me with 2 yr history of secondary > amenorrha And normal secondary sexual manifestations. The result of some
diagnostic tests are below: >
> 1)pelvic sonography :normal
> 2)progestron challenge test: negative(no bleeding)
> 3)bleeding with H.R.T treatment
> 4)FSHq , LH2
> 5)karyotyp: 46XX(normal female karyotype)
>
> What do you suggest?>>
>

With elevated gonadotropins, I'd think she's got hypogonadism, of whatever source. And obviously she's got no estrogen, since she doesn't withdraw to progesterone. Is she very thin or very fat? Any other manifestations, like hirsutism?

Joe P.





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