Few points are left at my previous article ‘Amenorrhoea part 5’, special investigations part…today i am only going to discuss about the left points..part 6 will upload with ‘secondary amenorrhoea’ (G)Turner syndrome:-investigations :-(1)Laparoscopy :-‘streak’ gonads. (2) Serum gonadotrophins :- high. (3)Karyotype:45,X O or 45, XO/46,XX.
(H)Androgen insensitivity syndrome:-(1)Laparoscopy :-uterus:-absent, Tubes :-absent, (2)Serum testosterone :- Equal to normal males (3) Karyotype :-46,XY (4) Gonadal biopsy :- Testicular structure (I) Adrenogenital syndrome :- (1) Karyotype :-46,XX (2)Serum 17 hydroxy-progesteron :- elevated (3 )Urinary pregnanetriol :- elevated
(J) Thyroid dysfunction (hypo):-Serum TSH :- elevated, T3 T4 :- Lowered
(K) Diabetes :- Blood sugar :-elevated
As per management purpose the scope of therapeutic or medicinal success in the management of primary amenorrhoea is very limited.
(Next part will upload at part 6
writer
DR PRIYANKA BAISYA
