Primary amenorrhea

Yıl 2011, Cilt: 46 Sayı: 11, 92 - 96, 01.03.2011

Engin Oral Begüm Aydoğan

https://doi.org/10.4274/tpa.46.44

Öz

Primary Amenorrhea is defined as the absence of menses at age 16 when secondary sexual characteristics are present or absence of menses at age 14 when nbsp; secondary sexual characteristics are not present The prevalence of nbsp; the condition nbsp; at age 14 is 0 1 2 5 and the prevalence at age 16 is 1 5 Uterus endometrial lining ovaries pituitary and hypothalamus must function properly and in a harmony for the routine menstrual cycle Primary amenorrhea results from endocrinologic ethiologies in 40 and nbsp; from developmental abnormalities in 60 The history of the patient hormonal parameters diagnostic tools such as ultrasound and magnetic resonance imaging and laparoscopy can all be useful for the diagnosis of nbsp; the condition The answers of 3 questions are important for treatment in these patients One of them is the menstruel flow the other is probability of pregnancy and finally sexual intercourse Additional anomalies must be investigated when the underlying pathology is developmental anomalies Treatment modalities must be discussed with the patient and her family The important point is to identify the underlying pathology and to discuss the condition in terms of treatment sexual intercourse concieving pregnancy and prognosis In necessary cases the patients must be consulted with a psychiatrist Turk Arch Ped nbsp; 2011; 46 Suppl: 92 6

Anahtar Kelimeler

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Primer amenore

Öz

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Anahtar Kelimeler

Ergenler, etyoloji, primer amenore, tedavi

Kaynakça

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• Morel Y, Rey R, Teinturier C, et al. Aetiological diagnosis of male sex ambiguity : a collaborative study. Eur J Pediatr 2002; 161: 49-59. (Abstract)
• Coulam CB, Adamson SC, Annegers JF. Incidence of premature ovarian failure. Obstet Gynecol 1986; 67: 604-6. (Abstract)
• Rebar RW. Premature ovarian ‘‘failure’’ in the adolescent. Ann N Y Acad Sci 2008; 1135: 138-45. (Abstract) / (Full Text) / (PDF)
• Kalantaridou SN, Nelson LM. POF is not premature menopause. Ann N Y Acad Sci 2000; 900: 393–402.
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• Colao A, Loche S. Prolactinomas in Children and Adolescents. Pediatric Neuroendocrinology 2010; 17: 146-59. (Abstract) / (PDF)
• Reid RL. Amenorrhea. In: Copeland LJ(ed).Textbook of gynecology. 2nd ed. Philadelphia: Saunders, 2000: 541-69.