Curriculum of Gynecology
TOPIC 60
AMENORRHEA
RATIONALE
Amenorrhea is the complete absence of menstruation in patients during the reproductive span of life. It is not a disease, but a symptom.
GOAL
Recognize the causes, diagnosis, and treatment of amenorrhea
LEARNING OBJECTIVES
By the end of this course, the student will be able to:
l Define the problem of primary and secondary amenorrhea
l Enumerate the physiological causes of amenorrhea
l Recognize cryptomenorrhea, with special emphasis on imperforate hymen
l List the hypothalamic causes of amenorrhea
l List the pituitary causes of amenorrhea with emphasis on Sheehans syndrome
l List the ovarian causes of amenorrhea with emphasis on polycystic ovarian syndrome
l List the uterine causes of amenorrhea with emphasis on Ashermans syndrome
l Describe the investigations of amenorrhea patients
l Outline management of amenorrhea
l Take an appropriate history from an amenorrhea patient
l Order the appropriate investigations from an amenorrhea patient
l Assess secondary sexual characters
CONTENT
l Definition, etiology, diagnosis, and treatment of primary amenorrhea
l Definition, etiology, diagnosis, and treatment of secondary amenorrhea
l Definition, etiology, diagnosis, and treatment of hyperprolactinemia
