上海交通大学妇产科学03级七年制课件二 Amenorrhea－狄文 .pptVIP

2006-11-15 七年制 Amenorrhea Amenorrhea Amenorrhea Amenorrhea is the absence of menstruation. Primary Secondary Events of Puberty Thelarche (breast development) Requires estrogen Pubarche/adrenarche (pubic hair development) Requires androgens Menarche Requires: GnRH from the hypothalamus FSH and LH from the pituitary Estrogen and progesterone from the ovaries Normal outflow tract Classification of amenorrhea hypothalamic amenorrhea pituitary amenorrhea ovarian amenorrhea uterine amenorrhea Etiology hypothalamic amenorrhea Psychological stress 5a-Reductase deficiency A