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- Title
AMENORREA PRIMARIA.
- Authors
Sepúlveda-Agudelo, Janer; Ángel Alarcón-Nivia, Miguel; Jaimes-Carvajal, Hermes
- Abstract
Objective: this is a detailed review of primary amenorrhea using Mashchak CA et al. classification according to the presence or absence of breast development and the presence or absence of uterus as being the most useful approach for managing patients suffering from this problem. Method: Medline and Ovid databases were searched for papers published in English using the following keywords: amenorrhea, primary amenorrhea, menstrual disorder, Turner syndrome, Kallmann syndrome, Prader-Willi syndrome, hypogonadotropic hypogonadism. This information was classified to support this review by making summaries for analysis. Results: primary amenorrhea can be caused by many alterations affecting the Mullerian structures, gonads, pituitary gland, hypothalamus, thyroid, adrenals or hormonal dysfunction; such anomalies may be congenital due to genetic or chromosomal defects or acquired. It is thus important that this problem is specifically diagnosed to enable a suitable therapeutic approach to be adopted for minimising the consequences of this disease. Conclusions: many diseases cause this problem, so diagnosing and treating patients suffering from primary amenorrhea must be individualised; however, some general questions needing specific answers are raised by all patients or their families. These questions are related to menstruation and spontaneous menstrual cycles, subsequent fertility, sexuality and the possibility of coitus with satisfactory vaginal penetration.
- Subjects
AMENORRHEA; MENSTRUATION disorders; TURNER'S syndrome; INBORN errors of metabolism; HUMAN chromosome 15 abnormalities; PRADER-Willi syndrome; WOMEN'S health; SEX chromosome abnormalities; SYNDROMES
- Publication
Revista Colombiana de Obstetricia y Ginecologia, 2009, Vol 60, Issue 1, p57
- ISSN
0034-7434
- Publication type
Article
- DOI
10.18597/rcog.354