上海交通大学妇产科学03级七年制课件一 Amenorrhea .pptVIP

Amenorrhea Amenorrhea Amenorrhea is the absence of menstruation. Primary Absence of menses by age 16 with normal secondary sexual characteristics. Absence of menses by age 14 without secondary sexual development. Secondary Absence of menses for 6 months in a previously menstruating female. Events of Puberty Thelarche (breast development) Requires estrogen Pubarche/adrenarche (pubic hair development) Requires androgens Events of Puberty Menarche Requires: GnRH from the hypothalamus FSH and LH from the pituitary Estrogen and progesterone from the ovaries Normal outflow tract Classificatio