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Amenorrhea - Coggle Diagram
Amenorrhea
amenorrhea symptoms
Milky nipple discharge
Hair loss
Headache
Vision changes
Excess facial hair
Pelvic pain
Acne
Amenorrhea Diagnosis
Pregnancy test. This will probably be the first test your doctor suggests, to rule out or confirm a possible pregnancy.
Thyroid function test. Measuring the amount of thyroid-stimulating hormone (TSH) in your blood can determine if your thyroid is working properly.
Ovary function test. Measuring the amount of follicle-stimulating hormone (FSH) in your blood can determine if your ovaries are working properly.
Prolactin test. Low levels of the hormone prolactin may be a sign of a pituitary gland tumor.
Male hormone test. If you're experiencing increased facial hair and a lowered voice, your doctor may want to check the level of male hormones in your blood. -
Maturational Steps
Saat estrogen gonad meningkat (gonadarche) perkembangan payudara (thelarche)
dan terjadi pertumbuhan vagina dan uterus
Sekresi androgen adrenal (adrenarke) menyebabkan pertumbuhan rambut kemaluan dan ketiak (pubarke)
Pertumbuhan dan perkembangan tanda-tanda seks sekunder tersebut dinilai dengan
Tanner Staging
Tanner stage 1 menunjukkan pertumbuhan dan perkembangan prepubertas
stage 2 sampai 5 menunjukkan progresivitas pubertas
Sexual Maturation Rating
GANGGUAN PUBERTAS
Prekoks
Pubertas prekok patologis
Gonadotropin dependent
Gonadotropin independent
Pubertas prekok varian normal
Telars prematur
Adrenarke prematur
Ginekomastia
Normal
gangguan menstruasi
Terlambat
Belum munculnya sekuens pubertas:
usia 13 tahun (perempuan)
usia 14 tahun (lelaki)
Amenorrhea
Primary
absence of menstruation in someone who has not had a period by age 15
common causes of primary amenorrhea relate to hormone levels, although anatomical problems also can cause amenorrhea
Secondary
absence of three or more periods in a row by someone who has had periods in the past
Amenorrhea Treatment
Treatment depends on the underlying cause of your amenorrhea. In some cases, birth control pills or other hormone therapies can restart your menstrual cycles
Amenorrhea caused by thyroid or pituitary disorders may be treated with medications
If a tumor or structural blockage is causing the problem, surgery may be necessary
reference
Klein, D. A., Paradise, S. L., & Reeder, R. M. (2019). Amenorrhea: A Systematic Approach to Diagnosis and Management. American family physician, 100(1), 39–48.