Re: Amenorrhea
From: Andrew Folley (agfolley@hotmail.com)
Tue Jun 26 15:20:48 2007
If she has not had a period in 10 years then she was 20 when this started
and you would have to think of a differential for "Premature menopause" and
that would include turners mosic. agf
>From: "Raymond Stephen" <stephen.raymond@dhhs.tas.gov.au>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: RE: Amenorrhea
>Date: Mon, 25 Jun 2007 18:04:55 -0500
>
>Menopause - because of the high FSH & LH. PCO will never give you that
>high an LH, and her FSH would be normal, unless you took it in the
>menstrual phase, at which time the LH would be low anyway. Why did you
>think of chromosomes?
>
>Steve
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry
>E. Siegel, M.D.
>Sent: Tuesday, 26 June 2007 6:32 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Gyn: Amenorrhea
>
>39 YO Black P0121 seen today for an annual examination.
>
>She has been amenorrheic for around 10 years.
>
>She is obese, BMI 39.2, and has hypertension and diabetes, both treated.
>
>Recent labs:
>
>FSH 49, LH 28, TSH, Prolactin normal, 17 OHP normal.
>
>Is her diagnosis premature menopause, versus a PCO pattern?
>
>Does she need chromosomes done?
>
>Garry
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>
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