| ID | 304 |
|---|---|
| Name | FALSE AMENORRHOEA |
| Cause | Causes: 1. Non-canalization of cervix 2. Imperforated hymen 3. Cervical stenosis due to- i. surgical trauma ii. infection (e.g tuberculosis). 4. Atresia of cervix & vagina 5. Septum at the lower part of vagina |
| Signs Symptoms | Milky nipple discharge. Hair loss. Headache. Vision changes. Excess facial hair. Pelvic pain. Acne. |
| Diagnosis | Pregnancy test. This will probably be the first test your to rule out or confirm a possible pregnancy. Thyroid function test. Measuring the amount of thyroid-stimulating hormone (TSH) Ovary function test. Measuring the amount of follicle-stimulating hormone (FSH) findout ovaries are working properly. Prolactin test. Low levels of the hormone prolactin may be a sign of a pituitary gland tumor. Male hormone test. If you're experiencing increased facial hair and a lowered voice |
| Investigations | |
| Management | Treatment is aimed at correcting the problem with menstruation. Lifestyle changes alone may help the body resume appropriate menstrual cycles. Removal of stressors or discontinuing certain medications may be suggested. Artificial hormones with oral contraceptive tablets or other long-acting contraceptives may be used. Sometimes, surgery is the only option to help the body return to regular cycles. |
| Introduction | In this condition menstruation is taking place, but the patient is unaware of it beause the outflow is obstructed at the level of the cervix, vagina or vulva. It is also called ‘cryptomenorrhoea |
| History | |
| Etiology | |
| Clinical Features | |
| Preventions | Maintaining good overall health can help prevent some causes of secondary amenorrhea. Try to: Follow a diet and exercise plan that’s healthy. Be aware of your menstrual cycle (so you’ll know if you miss a period). Get regular gynecological appointments, including having a pelvic exam and Pap test. Get regular and adequate sleep. |
| Treatment | Treatment: According to cause- 1. Non canalization of cerveix & atresia of vagina- plastic operation to make a passage. 2. Imperforated hymen- cruciate incision under anesthesia. 3. Vaginal septum- surgical excision & removal. 4. Acquired cause- by dilatation of cervix. |
| Complications | Osteoporosis or cardiovascular disease (due to a lack of estrogen). Difficulties getting pregnant or infertility |
| Prognosis | |
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