PPT-Secondary Amenorrhea: Clinical Causes and Evaluation

Robert M Weiss MD Division of Reproductive Endocrinology and Infertility Boston University School of Medicine Learning Objectives To review and understand the endocrinology and physiology of the normal menstrual cycle. AMENORRHEA. Mazen. . Freij. , MBBS MRCOG. Assistant Professor at JUH. Objectives. Know the definition of Amenorrhea and . Oligomenorrhea. Understand the endocrine, genetic and anatomical basis for these disorders. Suleena. . Kansal. . Kalra. , MD, MSCE. Assistant Professor. Division of Reproductive Endocrinology and Infertility. Primary Amenorrhea. Pubertal delay >2.5 SD later than the mean. No breast development by age 13. PEDIATRIC BOARD . REVIEW COURSE. ADOLESCENT MEDICINE. . WARREN M. SEIGEL M.D., M.B.A., F.A.A.P., F.S.A.H.M.. Chairman, Department of Pediatrics. Director of Adolescent Medicine. Coney Island Hospital. Libby Crockett, MD. Department of Obstetrics and Gynecology. University of Nebraska Medical Center. Disclosure….. I have no financial conflicts of interest. . Objectives. 1. . . Understand the causes of primary . R. eference : AFP June 1, 2013 Volume 87, Number 11. AFP Review by . Dr. . Engholm. When to be worried:. 13 and no puberty. 5 years after initial breast development, no menses. 15 years old and no menses. 5-. 2. Objectives. Review concepts applied in the evaluation of . clinical performance. . Discuss factors that impact the fair and legal evaluation of students.. Determine the relationship of standards to evaluating clinical competence.. What is implementation?. Broadly speaking, implementation focuses on . ‘closing the gap’. between evidence and service delivery / clinical practice.. Evidence conceptualised more broadly than empirical research.. Kirsten B. Hawkins, M.D., M.P.H. . Washington, DC . May 31, 2018 . Goals. . List the endocrinological causes of oligomenorrhea and amenorrhea. Describe the evaluation of secondary amenorrhea. Describe the etiology, signs, symptoms, physical exam, laboratory, and radiological findings associated with PCOS. Maryam Zahedi . Shahid. . beheshti. . Adault. . Endocinology. Fellow. Problem List:. Short stature. Obesity. Round Face. Brachydactyly. Hypocalcemia. Hyperphosphatemia. High serum PTH levels. . gharooi. . Ahangar. Diagnostic clue in this patient. Primary amenorrhea. Normal . T. helarche. and . Pubarche. Normal IQ. Growth retardation. Normal FSH . Absence of uterine or . hypoplastic. Karyotype XX. (Amenorrhea . Symposium). Hengameh. . Abdi. Endocrine Research Center. Research Institute for Endocrine . Sciences. Shahid. . Beheshti. University of Medical Sciences. 03 January 2019. Tehran. Agenda. Case Presentation. Intended Learning . Outcomes. A student should be able to:. Define amenorrhea and oligomenorrhea. Explain . the pathophysiology and identify the etiologies of amenorrhea and oligomenorrhea, . Chairperson – Madhuri Patil. Causes of Amenorrhea. Causes of Ovulatory Amenorrhea. Causes of Amenorrhea. Causes of . Anovulatory. Amenorrhea. Causes of . Anovulatory. Amenorrhea. Evaluation Of Primary Amenorrhea. . The IPPC Secretariat. With. the . financial. support of the STDF . project. 401. Phytosanitary Capacity Evaluation (PCE) facilitators training. The project cycle. Identification . Planning . Implementation .