...
Is there galactorrhea? Of course, the most common cause of galactorrhea would be the galactorrhea following pregnancy and delivery. However, if there is galactorrhea, one should consider the possibility that the patient is ... DIAGNOSTIC WORKUP
... READ EXCERPTS »
...
Is there persistent or recurring abdominal or pelvic pain? The presence of pain with menorrhagia should make one suspect PID, endometriosis, and ectopic pregnancy.
Are there abnormalities on the pelvic examination? The ... DIAGNOSTIC WORKUP
... READ EXCERPTS »
...
Amenorrhea (absence of menses) can be transient, intermittent, or permanent. It may result from dysfunction of the hypothalamus, pituitary, ovaries, uterus, or vagina. Primary amenorrhea is the absence of menarche by age 16; secondary amenorrhea is the absence of menses in women... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ EXCERPTS »
...
Secondary amenorrhea is the absence of menses for 6 months in a woman with previously regular menstrual cycles, or 12 months in a woman whose periods had been irregular.
Differential Diagnosis
Pregnancy
& ... Workup and Diagnosis ... Treatment
... READ EXCERPTS »
...
Menarche occurs at an average age of 12.7 years in the U.S. Primary amenorrhea occurs when menarche remains absent at age 16, or if 5 years have passed since the onset of puberty and menarche has not begun.
Differential Diagnosis
... Workup and Diagnosis ... Treatment
... READ EXCERPTS »
... Combining the anatomy of the female genital tract with the endocrine system will key in on the major sources of absent or diminished menstrual flow. It is perhaps best to begin at the bottom and work upward to the head.
... READ EXCERPTS »
... The absence of menstrual flow, amenorrhea can be classified as primary or secondary. With primary amenorrhea, menstruation fails to begin before age 16. With secondary amenorrhea, it begins at an appropriate age, but later ceases for 3 or more... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
... READ EXCERPTS »
... Abnormally heavy or long menstrual bleeding, menorrhagia may occur as a single episode or a chronic sign. In menorrhagia, bleeding is heavier than the patient’s normal menstrual flow; menstrual blood loss is 80 ml or more per monthly period. A form of dysfunctional uterine bleeding,... Emergency Interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
... READ EXCERPTS »
... Hypothalamic and Pituitary Causes
Androgen excess
Chorionic gonadotropin-secreting tumors
Chronic debilitating diseases (e.g., liver disease, uremia, regional ileitis)
... READ EXCERPTS »
... Amenorrhea is the abnormal absence or suppression of menstruation. Primary amenorrhea is the absence of menarche in an adolescent (by age 18). Secondary amenorrhea is the failure of menstruation for at least 3 months after normal onset of menarche. ... Causes and incidence ... Diagnosis ... Treatment ... Special considerations ... Pictures
... READ EXCERPTS »
... The absence of menstrual flow, amenorrhea can be classified as primary or secondary. In primary amenorrhea, menstruation fails to begin before age 16. In secondary amenorrhea, it begins at an appropriate age but later ceases for 3 or more months in the absence... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ EXCERPTS »
... Abnormally heavy or long menstrual bleeding, menorrhagia may occur as a single episode or a chronic sign. In menorrhagia, bleeding is heavier than the patient’s normal menstrual flow; menstrual blood loss is 80 ml or more per monthly period. A form of... Emergency Interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
... READ EXCERPTS »
... L. Allen Dobson, Jr.
Pregnancy is the most common cause of amenorrhea. Evaluation and diagnosis of the other causes of amenorrhea are possible by use of a simple workup scheme (section V).
Approach ... History ... Physical examination ... Testing ... Diagnostic assessment ... Pictures
... READ EXCERPTS »
... Albert A. Meyer
Approach Menorrhagia, defined as excessive bleeding from the uterus, is a common gynecologic complaint. Each year, 200,000 American women undergo hysterectomy for the treatment of menorrhagia. Approximately 20% of women consult... History (2) ... Physical examination ... Testing ... Diagnostic assessment (3)
... READ EXCERPTS »
... Differential Overview
❑ Pregnancy
❑ Menopause
❑ Functional hypothalamic amenorrhea
❑ Drugs
❑ Anorexia nervosa ... Diagnostic Approach ... Clinical Findings
... READ EXCERPTS »
... The absence of menstrual flow, amenorrhea can be classified as primary or secondary. With primary amenorrhea, menstruation fails to begin before age 16. With secondary amenorrhea, it begins at an appropriate age but later ceases for 3 or... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ EXCERPTS »
... The absence of menstrual flow, amenorrhea can be classified as primary or secondary. With primary amenorrhea, menstruation fails to begin before age 16. With secondary amenorrhea, it begins at an appropriate age, but later ceases for 3 or more months in the absence of normal... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
... Abnormally heavy or long menstrual bleeding, menorrhagia may occur as a single episode or a chronic sign. In menorrhagia, bleeding is heavier than the patient's normal menstrual flow; menstrual blood loss is 80 ml or more per monthly period. A form of... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ EXCERPTS »
...
Combining the anatomy of the female genital tract with the
endocrine system will key in on the major sources of absent or diminished
menstrual flow. It is perhaps best to begin at the bottom and work upward to
the head.
... Pictures
... READ EXCERPTS »
As many as 20 to 50 percent of all women develop fibroids. These benign muscle tumors usually grow in the uterus, and can cause pain, and in some...
Every year, thousands of woman suffering from abnormal uterine bleeding are told that their only option is hysterectomy. Some choose to undergo this...
Every year, thousands of woman suffering from abnormal uterine bleeding are told that their only option is hysterectomy. Some choose to undergo this...
