Amennorhea

Amenorrhea

Absence of menses during the reproductive years Abnormal in a woman who is not pregnant or postpartum Lack of menstruation itself is not harmful to the body Categorized as Primary or Secondary Pregnancy is the most common cause Take into count in the difference in age and most common causes Most common in younger women and older women but for different reasons

Seconay amm tx

Directed toward the cause Often will be treated with OCPs You may be co‐managing many of these cases

PCOS tx

Treatment Plan No one magic therapy; women need reassurance and information Important to discuss family planning Usually tx w/ low‐dose OCPs •May add an insulin sensitizing agent Metformin is used Decreases hyperinsulinemia and reduces LH and androgen production to facilitate ovulation Not yet approved for use to treat infertility May add an anti‐androgen (usually spironolactone ) May need a specialist follow up

Primary Amenorrhea: History: •

Usual complete health history with special focus on: • Age of appearance of breast buds and pubic hair (if present) • Age of mother's menarche • Any sexual activity • Neurological sx: Blurred vision Medications • Dieting and any eating disorders Drug use Exercise Should still have breast and pubic hair