Amenorrhoea

The primary amenorrhea denotes absence of menstruation until eighteen years of age. Reasons associated with the content of the hypothalamus (Kallmann and olfaktogenitalni syndrome, anorexia nervosa), pituitary gland (pituitary tumors: kraniopharingeom, hipofizrna insufficiency),


ovaries (Turner syndrome, secondary ovarian insufficiency), uterus (Mayer-Rakitansky-Kusterjev syndrome), vagina (vaginal and himenalna atresia), or ekstragenitalnimi, metabolic and endocrine disorders (andrenogenitalni syndrome).
Secondary Amenorrhea    http://hypothyroidism-revolution-2014.wallinside.com/   

The most common causes for the occurrence of secondary amenorrhea (in addition to the physiological amenorrhea during childhood, during pregnancy, during lactation and menopause)


 are different diseases (TB, carcinomas, immunological disease), disorders of ovary syndrome (PCOS, ovarian tumors, premature failure) disruption of endocrine organs (hypo and Hyperthyroidism, diabetes), as well as deviations functioning of the hypothalamus and pituitary gland.

Diagnosis
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Diagnosis is based on a thorough gynecological and ultrasound examination, hormonal analysis: basal hormonal status. The basic diagnosis is often supplemented with histeroskopijo


 (endoscopic examination of the uterus) and laparoscopy (examination of the peritoneal cavity with an endoscope), and kariogramom (chromosomal analysis).    http://tombrimeyerexperts2014.iconosites.com/           
Treatment of primary amenorrhea

In all Forms of ovarian disgenezah that occur due to low growth, it is necessary to consider the administration of growth hormone from the ninth year of age. With the termination of the growth in these cases followed by hormone replacement therapy - NHT (Cyclo-Progynova,

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Trisequens), or with a slightly higher dose (Neo-Eunomin, Trisequens forte) in the case of unsatisfactory development of the chest. NHT is recommended primarily for protection against osteoporosis to 52 years of age or. to periods when naturally reaches the menopause. In other cases, primary amenorrhea,
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 depending on the R, in addition to the substitution therapy (NHT), and induction of ovulation, treatment is carried out in terms of anatomical correction.