43 results
Causes of Primary and Secondary Amenorrhea - Differential Diagnosis Algorithm
Primary Amenorrhea - No onset of menarche
and Secondary Amenorrhea ... Algorithm Primary Amenorrhea ... Etiology - High FSH ... Ovarian - High FSH ... challenge, Low FSH
Diagnosis of Primary Amenorrhea
A diagnostic approach to primary amenorrhea. (FSH = follicle-stimulating hormone; LH = luteinizing
Diagnosis of Primary Amenorrhea ... approach to primary amenorrhea ... (FSH = follicle-stimulating ... PrimaryCare #Primary #Amenorrhea
Bilateral Winged Scapula on Physical Exam - Seen in Facioscapulohumeral Muscular Dystrophy (FSH, FSHD)

#Bilateral #Winged #Scapula
Muscular Dystrophy (FSH ... , FSHD) #Bilateral ... Muscular #Dystrophy #FSH ... #FSHD #clinical
Primary Amenorrhea Differential Diagnosis Framework

Workup:
 • β-HCG, TSH and PRL
 • Breast Tanner Staging
 • FSH,
Primary Amenorrhea ... Tanner Staging • FSH ... khudhur_moh #Primary #Amenorrhea
A diagnostic approach to secondary amenorrhea. (DHEA-S = dehydroepiandrosterone sulfate; FSH = follicle-stimulating hormone; LH =
approach to secondary amenorrhea ... dehydroepiandrosterone sulfate; FSH ... PrimaryCare #Secondary #Amenorrhea
Amenorrhea - Differential Diagnosis Algorithm
Elevated FSH
 • Premature Ovarian Failure
 • Menopa use
 • Spontaneous
Bleed With
Amenorrhea - Differential ... Algorithm Elevated FSH ... Hypothalamic • Amenorrhea ... Prolonged Illness) #Amenorrhea
Menstrual Cycle Physiology: Ovarian Cycle – Brief Overview
LH and FSH are required for follicular development and
Overview LH and FSH ... follicle - FSH ... produced -> Inhibit FSH ... not implant #MenstrualCycle
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm
Absence of menses for more than 3 cycles or
Causes of Secondary Amenorrhea ... Ovarian - Normal FSH ... Ovarian - High FSH ... challenge, Low FSH ... #Secondary #Amenorrhea
Causes of Secondary Amenorrhea - Differential Diagnosis
 • Pregnancy
 • Endocrinopathies: PCOS, Hypothyroidism
 • HPA Dysfunction:
Causes of Secondary Amenorrhea ... Medications: Post-pill amenorrhea ... #Secondary #Amenorrhea
Menstrual Cycle Physiology: Ovarian Cycle – Follicular Phase Explained
Early Follicular Phase (Days 0-5)
 • Granulosa cells
hormone that 1) Incr FSH ... pituitary, 2) Incr FSH ... Resulting high FSH ... responsive to FSH ... #MenstrualCycle