CAUSES OF SECONDARY AMENORRHEA. DISORDERS ASSOCIATED WITH LOW OR NORMAL FSH : 66 % of cases . 1. Weight loss /Anorexia. 2. Chronic Anovulation including PCOS 3. Hypothyroidism. 4. Cushing syndrome. 5. Pituitary tumor , empty sella syndrome. Sheehan syndrome. DISORDERS ASSOCIATED WITH HIGH FSH. 12 % of cases. 1. 46,XX spontaneous POF. 2. POF due to abnormal karyotype ( 45,X mosaic / ring chromosome ). 3. Pure gonadal dysgenesis. 4. Hyperprolactinaemia. 5. Asherman syndrome. DISORDERS ASSOCIATED WITH HYPERANDROGE- NISM : 1. PCOS. 2. Ovarian tumor. 3. Non classical CAH. IATROGENIC. 1. Anti psychotics. 2. Cancer chemotherapy. 3. Anti depressants. 4. Anti hypertensive.

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Very important information about secondary amenorrhea by our respected Madam Suvarchala ji.Thanks a lot Madam ,But for rural practitioners,five points are very important in the management of Secondary Amenorrhea.Start from basics :-Secondary Amenorrhea is defined as Amenorrhea of six months duration in a woman with previous normal menstrual patterns in the absence of pregnancy and lactation .Now we will come to 5 basic points :- 1.Is the patient pregnant. 2.Is there clinical evidence of oestrogen deficiency. 3.Is her serum prolactin level elevated . 4. Is it premature menopause . 5. What are levels of her serum FSH and LH .And never forget to rule out Anaemia and vicarious menstruation . If still in doubt then read the article by Madam Suvarchala ji .rajesh gopal.

Simplified.Nice
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Here's another wonderful presentation which is very much useful. Thanks a lot @Dr. Suvarchala Pratap for sharing the useful post.

I think hyperprolactinoma & Asherman syndrome results in with hypo gonadotropic/normal gonadotropic sec.Amenorrhea but not with Hyper gonadotropic conditions.

thanks for shairing it is very infermative
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Nice ingotmation.

Nice information
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Very nice elaborated information, Thanx for sharing.

Nice presentation.

Nice presentation narrative practical aspects

Thanks for sharing information.

Thanks mam for sharing this useful info in simplified way. ..

Impressive

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