Ebook Family practice guidelines (4/E): Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Family practice guidelines (4/E): Part 2
Ebook Family practice guidelines (4/E): Part 2
14Gynecologic GuidelinesAmenorrheaRfWNi3 ArthurDefinitionAmenorrhea is absence of menstruation when menstrual periods should occur.A.Primary amenorrhe Ebook Family practice guidelines (4/E): Part 2ea1No menstrual period by age 14 years in the absence of growth or development of secondary sexual characteristics2No menstrual period by age 16 years regardless of the presence of normal growth and development with the appearance of secondary sexual characteristicsB.Secondary amenorrhea: No menstru Ebook Family practice guidelines (4/E): Part 2al period for 6 months in a woman who usually has normal periods, or for a length of time equal to thrcc-cvcic intervals in a woman with less-frequentEbook Family practice guidelines (4/E): Part 2
cycles.IncidenceA. Amenorrhea in a woman who has had menstrual periods is quite common at some rime during her reproductive life. Amenorrhea that is 14Gynecologic GuidelinesAmenorrheaRfWNi3 ArthurDefinitionAmenorrhea is absence of menstruation when menstrual periods should occur.A.Primary amenorrhe Ebook Family practice guidelines (4/E): Part 2ogenesisA.Physiological: Pregnancy, breastfeeding, and menopauseB.Disorder, of the central nervous system (hypothalamic): Hypothalamic amenorrhea is rhe most common cause of amenorrhea (28%). ĩhere is a deficiency in pulsatile secretion of gonadotropin-releasing hormone (Gn-RH). Examples include a s Ebook Family practice guidelines (4/E): Part 2tressful lifestyle (10%); weight loss as in anorexia or bulimia (10%); extreme exercise; medications. such as hormones, as in postpill amenorrhea; hypEbook Family practice guidelines (4/E): Part 2
othyroidism (10%); and major medical disease such as Crohn’s disease or systemic lupus erythematosus (SLE).c. Disorders of the outflow tract or uterin14Gynecologic GuidelinesAmenorrheaRfWNi3 ArthurDefinitionAmenorrhea is absence of menstruation when menstrual periods should occur.A.Primary amenorrhe Ebook Family practice guidelines (4/E): Part 2ion during dilation and curettage (D&C; causes 7% of amenorrhea); and agenesis or structural anomalies of the uterus, tubes, or vagina.D.Disorders of the ovary: Examples include abnormal chromosomes such as Turners syndrome (0.5%); normal chromosomes (10%) such as in gonadal dysgenesis or agenesis ( Ebook Family practice guidelines (4/E): Part 2there may be no or very delayed Tanner stage);premature ovarian failure (POF); premature menopause, before the age of 40 years; effect of radiation orEbook Family practice guidelines (4/E): Part 2
chemotherapy; and polycystic ovarian (PCO) disease.E.Disorders of rhe anterior pituitary: Examples include prolactin tumors (7.5%).Predisposing Facto14Gynecologic GuidelinesAmenorrheaRfWNi3 ArthurDefinitionAmenorrhea is absence of menstruation when menstrual periods should occur.A.Primary amenorrhe Ebook Family practice guidelines (4/E): Part 2 a few rimes each year.”B.“I have nipple discharge."c. "lam 16 years old and have never had a menstrual period."Other Signs and SymptomsA.Irregular, infrequent menstrual periodsB.Galactorrheac. PregnancyD.Excessive hair growthSubjective DataA.Review complete menstrual history, including age of onset Ebook Family practice guidelines (4/E): Part 2, duration, frequency, regularity, and dysmenorrhea.B.Review the patients pregnancy history.c. Review the patients contraception history.D.Note otherEbook Family practice guidelines (4/E): Part 2
medications the patient is taking, such as hormones or antidepressants.E.Ask the patient if she has had a major medical disease or treatment such as c14Gynecologic GuidelinesAmenorrheaRfWNi3 ArthurDefinitionAmenorrhea is absence of menstruation when menstrual periods should occur.A.Primary amenorrhe14Gynecologic GuidelinesAmenorrheaRfWNi3 ArthurDefinitionAmenorrhea is absence of menstruation when menstrual periods should occur.A.Primary amenorrheGọi ngay
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