AMENORRHEA闭经20090911PPT课件.pptVIP

 AMENORRHEA 闭经;Definition:;Before puberty:The stage of adolescence in which an individual becomes physiologically capable of sexual reproduction. Pregnancy: Postpartum: Of or occurring in the period shortly after childbirth Postmenopausal:Of or occurring in the time following menopause. ;Pathological amenorrhea :;Amenorrhea Mechanism any of the components : nonfunctional hypothalamus, pituitary, ovary, outflow tract, feedback mechanism → bleeding cannot occur. (Amenorrhea) ;Normal menstrual cycle;Events of Puberty;Hypothalamic amenorrhea;Pituitary amenorrhea;Ovarian amenorrhea;Uterine amenorrhea;Imperforate Hymen;Diagnosis ; Work up of secondary amenorrhea ;Second amenorrhea Uterus: TSH ,Prl, FSH normal, no withdrawal bleeding Ovary: FSH＞30IU/L,LH/FSH ＞2 Pituitary: FSH＜5IU/L, LH ＜5IU/L Hypothalamus: FSH＜5IU/L, LH ＜5IU/L;Thank you