Tuesday, 19 November 2013

Menstrual Disorders - Amenorrhea - Diagnosis of secondary Amenorrhea

Amenorrhea is defined as delay or absence of menstruation in a woman reproductive years. Women who have a delay or absence of period used to think that they may be pregnant, in fact, there are many reasons of amenorrhea.
Diagnosis and tests of secondary Amenorrhea
If you are experience delay of absence of menstruation for more than 3 cycles or 6 months, it is for your benefit to see the doctors right the way.
In the doctor's office, after family and medical history are recorded, your doctor may perform a general physic exam, including the breast and pelvic exams
1. Breast and pelvic exam
The breast and pelvic exam is a routine exam for women with menstrual irregularity as your doctor wants to make sure that your incidence may be caused by presence of substance other than hormonal imbalance.

2. Urinary pregnancy test
This obvious that your doctor wants to rule out the case of pregnancy cause of absence of period.
3. Pelvic Ultrasound
Ultrasound is a medical technological machine used the sound wave to sound waves instead of radiation to generate snapshots or moving pictures of structures inside the body, including the pelvic region to rule the presence of polycystic ovaries. If you has been in the medical office for an ultrasound before, you may already know the procedure and how the test is done. After coating your skin with a lubricant for the purpose of reducing friction from your skin, an ultrasound transducer is placed on your skin, as it moves back and forth, the transducer sends sound waves into your body and picks up the echoes of the sound waves as they bounce off internal organs and tissue that will displace on the computer screen and picture will be sent back to your doctor office after reviewing by the specialist.

4. Computerized tomography (CT)
A CT scan generates a large series of two-dimensional X-ray images taken around a single axis of rotation, to create a three-dimensional picture of the inside of the body in details.The pictures are viewed by your doctor to see the extent of the tumors abnormalities in your pelvic region.

5. MRI (magnetic resonance imaging)MRI (magnetic resonance imaging) is one of many advanced technology used to visualize internal structures cross sectional imaging of your body used effectively in providing the better details of the pelvic region and the surrounding areas, including uterus, ovaries are OK.

6. Blood test
a. Thyroid function test
The test is to measure the levels of thyroid stimulating hormone to make sure that amenorrhea is not caused by TSH.
b. Follicle stimulating test
The test is to measure the levels of FSH, if your levels is higher than normal, there may be a chance that you have entered the peri-menopause with symptoms of menstrual irregularity.
c. Male hormone test
The existence of high levels of male hormone in the women blood test may be caused by polycystic ovaries, if you are experience hoax voice and male pattern growth.
d. Progestin challenge test
Progestin is a synthetic progesterone with the structure similar to the natural progesterone in the women body. The aim of the test is to make sure that the delay and absence of period is not caused by low levels of estrogen. you will require to take the medicine for 7-10 days to i8nduce bleeding.
e. Etc.
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