闭经的疾病概述（A summary of diseases of amenorrhea）.docVIP

闭经的疾病概述（A summary of diseases of amenorrhea） Classification of diseases of amenorrhea Amenorrhea can be divided into primary amenorrhea and secondary amenorrhea. Where the age of 18 years or secondary sexual characteristics have been developed for more than 2 years, still the future menstrual referred to as primary amenorrhea, there have been regular menstrual cycle, for some reasons and stop for more than 6 months, called secondary amenorrhea. Amenorrhea can be divided into physiological and pathological. Physiological amenorrhea refers to the transition period before puberty, pregnancy, lactation, menopause and amenorrhea after menopause. Pathological amenorrhea is also often classified by site: Genital tract and uterine amenorrhea Primary: such as congenital malformations, absence of vagina and uterus or uterine dysplasia; common secondary abortion curettage or other causes destruction of the basal layer of the endometrium, or infection caused by intrauterine adhesions, endometrial tuberculosis etc.. Ovarian amenorrhea Primary amenorrhea: gonadal dysplasia is common, often associated with chromosomal abnormalities: 1.Turner syndrome of karyotype of 45, XO showed short stature, dysplastic secondary sex, with multiple malformations, such as webbed neck, elbow valgus, nipple outward, congenital heart disease, hypoplasia of uterus, ovary was cords. 2., true gonadal dysgenesis, although the chromosome is 46, XX, but the ovary is not developed, secondary sexual characteristics of dysplasia. 3. testicular feminization syndrome, male pseudohermaphroditism, chromosome 46, XY on chromosome Y determines gene deletion, testicular development 46, female type XY, with dysplasia of the testis in the abdominal cavity or groin, malignant. Secondary amenorrhea: 1. premature ovarian failure, 40 years old before menopause. 2. ovarian tumor. Pituitary amenorrhea 1. pituitary failure such as Sheehan syndrome, often occur in the postpartum, abortion after hemorrhagic shock, induced by