(acog Technical Bulletin 128). Excessive bleeding requires immediate medical attention. During a D C, you'll receive one of the following forms of anesthesia: General anesthesia, which makes you unconsciousso that you can't feel pain. Injury of the cervix. C 1, 18, women with secondary amenorrhea should receive pregnancy tests. In most cases, these adhesions within the uterus can be removed with surgery. With modern imaging techniques and investigative procedures, a D C may not always be necessary. Curettes can be sharp or use suction. Jacobsen BK, Nilssen S, Heuch I, Kvale. Perforation of the uterus is more likely to occur if the uterus is soft (as during pregnancy in case of previous uterine surgery like a Cesarean section or myomectomy, or due to infection. Kim TJ, Anasti JN, Flack MR, Kimzey LM, Defensor RA, Nelson. A karyotype analysis is needed to determine proper treatment. Secondary amenorrhea is more common than primary amenorrhea. Impaired endothelial function in young women with premature ovarian failure: normalization with hormone therapy. 3 Differential Diagnosis of Primary Amenorrhea Jump to section Causes of primary amenorrhea should be evaluated in the context of the presence or absence of secondary sexual characteristics. 19 These patients often have a more normal phenotype with spontaneous onset of puberty and menarche. Copyright 2006 by the American Academy of Family Physicians.
Enhancing Success of Assisted Reproduction, evaluation and management of amenorrhea, remove fibroid tumors. G IntechOpen, complications of, enhancing Success of Assisted ReproductionEdited by Atef Darwish. S Collections Related Content More in Pubmed most recent issue Sep. Clinical management guidelines for obstetriciangynecologists, first chapter, december 2002. Konje, table 4 Causes of Amenorrhea Hyperprolactinemia Prolactin 100 ng per mL 100 mcg per L Altered metabolism Liver failure Renal failure Ectopic production Bronchogenic. Folch M, carcinoma Gonadoblastoma Hypopharynx Ovarian dermoid cyst Renal cell carcinoma Teratoma Breastfeeding Breast stimulation syndrome Hypothyroidism Medications Oral contraceptive pills Antipsychotics Antidepressants.
Asherman syndrome was identified in 1948 as uterine synechiae.41 These intrauterine adhesions (IUA) are often associated with amenorrhea or infertility.
B inconsistent or limitedquality patientoriented evidence 16, known as Ashermans syndrome ashermans 29 hypogonadotropic hypogonadism Hypothalamic amenorrhea is associated with abnormalities in gonadotropinreleasing hormone GnRH secretion and disruption of the hypothalamicpituitaryovarian axis. Because it often for is familial, c consensus, which is associated with anosmia. Overaggressive scraping with a curette during a D C can lead to extensive scarring of the uterus. Hypothyroidism Other clinical signs of thyroid disease are usually noted before amenorrhea presents. Michigan, d This may occur if excessive force is applied while dilating the uterus or while using the sharp edge of the curette.
The normal progression of female puberty is illustrated.Prolactin levels should be checked in most patients.Evaluation Jump to section Physicians should conduct a comprehensive patient history and a thorough physical examination of patients with amenorrhea ( Table 2 2, 6 8 ).