Case 1 Patient: Woman, age 19 e Complaint: No menstruation by age 19 Present history: General feels good, but has no secondary sex changes and no periods. no cyclic abdominal pain Past history: Nothing special noted
Case 1 Patient: Woman, age 19 Complaint: No menstruation by age 19 Present history: General feels good, but has no secondary sex changes and no periods. No cyclic abdominal pain. Past history: Nothing special noted
Case 2 Patient: Woman age 30 Complaint: No menstruation; Hot and sweating a Present history: Normal menstrual cycle. IUD removal 8 month ago. Amount of bleeding in the following menstruation was markedly reduced and there was no bleeding for the second cycle. She was put on a sequential therapy with estrogens and progesterone, but no withdrawal bleeding was noted. Two months ago she started to feel hot and sweating in particular in the morning and the symptoms was getting worse Past history: Married at age 25. Pregnant 2 months after marriage, had an artificial abortion at 46 days. An IUd was inserted then
Case 2 Patient: Woman age 30 Complaint: No menstruation; Hot and sweating. Present history: Normal menstrual cycle. IUD removal 8 month ago. Amount of bleeding in the following menstruation was markedly reduced, and there was no bleeding for the second cycle. She was put on a sequential therapy with estrogens and progesterone, but no withdrawal bleeding was noted. Two months ago she started to feel hot and sweating in particular in the morning and the symptoms was getting worse. Past history: Married at age 25. Pregnant 2 months after marriage,had an artificial abortion at 46 days. An IUD was inserted then
Amenorrhea (闭经)
Amenorrhea (闭经）
Definitions Primary amenorrhea(原发闭经): . (1) No periods by age 16 (2) No periods by age 14 with no secondary sex changes (3)No periods by 2 years after the start of secondary sex changes Secondary amenorrhea(继发闭经) Absence of normal menstruation in a patient with previously established cycles. D)At any age when menses have ceased for more than 6 months or (2 ) longer than the total length of three previous menstrual cycles
Definitions Primary amenorrhea (原发闭经): (1) No periods by age 16 (2) No periods by age 14 with no secondary sex changes (3) No periods by 2 years after the start of secondary sex changes Secondary amenorrhea (继发闭经): Absence of normal menstruation in a patient with previously established cycles. (1) At any age when menses have ceased for more than 6 months or (2) longer than the total length of three previous menstrual cycles