gangguan pada hipofisis anterior atau pada gangguan pada sistem syaraf pusat Amenore sekunder juga bisa disebabkan oleh penyakit. Tetapi terbaik. Kehamilan adalah penyebab paling umum dari amenore sekunder. ikasi rhea sekunder • tidak adanya menstruasi selama lebih dari tiga siklus. Amenore Sekunder. Disusun Oleh: Woris Christoper I Dosen Pembimbing dr. Vidia Sari, Kepanitraan Klinik SMF Ilmu Kesehatan Wanita.

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Adnexa Ovary Endometriosis of ovary Female infertility Anovulation Poor ovarian reserve Mittelschmerz Oophoritis Ovarian apoplexy Ovarian cyst Corpus luteum cyst Follicular cyst of ovary Theca lutein cyst Ovarian hyperstimulation syndrome Ovarian torsion. In general, women with hypogonadotropic amenorrhoea are potentially fertile. To treat drug-induced amenorrhoea, stopping the medication on the advice of a doctor is a usual course of action. A reason for this occurrence may be that a person phenotypically female but genetically male, a situation known as androgen insensitivity syndrome.

In other amsnore, it regulates the neuronal activity and expression of neuropeptide systems that promote GnRH release.

Causes of secondary amenorrhea can also result in primary amenorrhea, especially if present before onset of menarche. Ginecologla y Obstetricia de Mexico. Gonadal dysgenesis, including Turner syndromeis the most common cause.

Signs Basal body temperature Cervical mucus Mittelschmerz. Clinical gynecologic endocrinology and infertility.


If secondary sex characteristics are present, but menstruation is not, primary amenorrhoea can be diagnosed by age For those who do not plan to have biological children, treatment may be unnecessary if the underlying cause of the amenorrhoea is not threatening to their health.

Endometriosis of ovary Female infertility Anovulation Poor ovarian reserve Mittelschmerz Oophoritis Ovarian apoplexy Ovarian cyst Corpus luteum cyst Follicular cyst of ovary Theca lutein cyst Ovarian maenore syndrome Ovarian torsion. In preindustrial societies, menarche typically occurred later than in current industrial societies.

Women who perform considerable amounts of exercise on a regular basis or lose a significant amount of weight are at risk of developing hypothalamic or ‘athletic’ amenorrhoea. In the absence of undescended testes, an MRI can be amenkre to determine whether or not a uterus is present. Recommencement of ovulation suggests a dependency on a whole network of neurotransmitters and hormones, altered in response to the initial triggers of secondary amenorrhoea.


Both hypothalamic and pituitary disorders are linked to low FSH levels leading to hypogonadotropic amenorrhoea. Breastfeeding is said to prevent more births in the developing world than any other method of birth control or contraception.

Sheehan syndromehyperprolactinaemiahaemochromatosis Other central regulatory: Weight loss can cause elevations in the hormone ghrelin which inhibits the hypothalamic-pituitary-ovarial axis. Long-term amenorrhoea leads to an estrogen deficiency which can bring about menopause at an early age.

Amenorrhoea is a symptom with many potential causes. Asherman’s syndrome Dysfunctional uterine bleeding Endometrial hyperplasia Endometrial polyp Endometriosis Endometritis. Low oestrogen levels are seen in these patients and the hypo-oestrogenism may require treatment. Therapeutics and Clinical Risk Management.

Patients who use and then cease using contraceptives like the combined oral contraceptive pill COCP may experience secondary amenorrhoea as a withdrawal symptom. Views Read Edit View history. A dopamine agonist can often help relieve symptoms. When a woman is experiencing amenorrhoea, an eating disorderand osteoporosis together, this is called female athlete triad syndrome.

Certain medications, particularly contraceptive medications, can induce amenorrhoea in a healthy sekunde.

If secondary amenorrhoea is triggered early in life, for example through excessive exercise or weight loss, menarche may not return later in life. British Journal of Sports Medicine. However, it has not proved effective in restoring of cortisol and adrenocorticotropin levels, or bone resorption. However, SSRI therapy represents a possible hormonal solution to just one hormonal condition of hypothalamic amenorrhoea.

Furthermore, because the condition involves the inter workings of many different neurotransmitters, much research is still to be done on presenting hormonal treatment that would counteract the hormonal affects.

Gonadal, usually ovarian, abnormalities tend to be linked to elevated FSH levels or hypergonadotropic amenorrhoea. Endometrium Asherman’s syndrome Dysfunctional uterine bleeding Endometrial hyperplasia Endometrial polyp Endometriosis Endometritis.


The syndrome develops prenatally early in the development wekunder the female reproductive system. Gonadal dysgenesis or premature menopause are possible causes. Secondary amenorrhea is caused by low levels of amenoe hormone leptin in females with low body weight.

Looking at Hypothalamic amenorrhoea, studies have provided that the administration of a selective serotonin reuptake inhibitor SSRI might correct abnormalities of Functional Hypothalamic Amenorrhoea FHA related to the condition of stress-related amenorrhoea.

When her ovaries no longer produce estrogen because of amenorrhoea, a woman is more sekunxer to suffer rapid calcium loss, which in turn can lead to osteoporosis.

As for physiological treatments to hypothalamic amenorrhoea, injections of metreleptin r-metHuLeptin have been tested as treatment to oestrogen deficiency resulting from low gonadotropins and other neuroendocrine defects such as low concentrations of thyroid and IGF American Journal of Obstetrics and Gynecology. Outside the reproductive years, there is absence of menses during sekundsr and after menopause.

Dyspareunia Hypoactive sexual desire disorder Sexual arousal disorder Vaginismus. Female infertility Fallopian tube obstruction Hematosalpinx Hydrosalpinx Salpingitis. Treatments vary based on the underlying condition.

Amenorrhea – Wikipedia

Amenorrhoea can also be caused by physical deformities. The term is derived from Greek: The use of opiates such as heroin on a regular basis has also been known to cause amenorrhoea in longer term users. Results of the study on Metformin further implicate the regulation of these hormones as a main cause of secondary amenorrhoea.

Young athletes are particularly vulnerable, although normal menses usually return with healthy body weight. Types of amenorrhoea are classified as primary or secondary, or based on functional “compartments”. Exercise amenorrhoea, related to physical exercisestress amenorrhoea, eating disorders and weight loss obesity, anorexia nervosaor bulimia Pituitary: D ICD –