CHAPTER 16: Amenorrhea

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AMA Citation
Amenorrhea. In: Werner CL, Richardson DL, Chang SY, Griffith WF, Hamid CA, Rahn DD, Moschos E, Hoffman BL. Werner C.L., Richardson D.L., Chang S.Y., Griffith W.F., Hamid C.A., Rahn D.D., Moschos E, Hoffman B.L. Eds. Claudia L. Werner, et al.eds. Williams Gynecology Study Guide, 3e New York, NY: McGraw-Hill; . http://obgyn.mhmedical.com/content.aspx?bookid=1813&sectionid=126255996. Accessed June 24, 2018.

MLA Citation
. "Amenorrhea." Williams Gynecology Study Guide, 3e Werner CL, Richardson DL, Chang SY, Griffith WF, Hamid CA, Rahn DD, Moschos E, Hoffman BL. Werner C.L., Richardson D.L., Chang S.Y., Griffith W.F., Hamid C.A., Rahn D.D., Moschos E, Hoffman B.L. Eds. Claudia L. Werner, et al. New York, NY: McGraw-Hill, , http://obgyn.mhmedical.com/content.aspx?bookid=1813&sectionid=126255996.

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Amenorrhea

In those without menses, which of the following clinical scenarios meets the definition of amenorrhea?

a. A 12-year-old woman with Tanner stage I breast development

b. A 16-year-old woman with Tanner stage II breast development

c. A14-year-old woman with Tanner stage III breast development

d. An 18-year-old woman with Tanner stage V breast development and cessation of menses for the last two cycles

b Amenorrhea

A rapid rise in which hormone is necessary to trigger ovulation?

a. Estrogen

b. Progesterone

c. Follicle-stimulating hormone (FSH)

d. Human chorionic gonadotropin (hCG)

a Normal Menstrual Cycle

Which of the following hormones “rescues” the corpus luteum from luteolysis?

a. Luteinizing hormone

b. Human placental lactogen

c. Follicle-stimulating hormone (FSH)

d. Human chorionic gonadotropin (hCG)

d Normal Menstrual Cycle

A 16-year-old woman presents for evaluation of pelvic pain. She has advanced breast and sexual hair development. Her examination is significant for the finding below. A transvaginal ultrasound shows normal female pelvic anatomy. What is this patient’s expected karyotype?

Used with permission from Dr. Ellen Wilson.

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a. 45,X

b. 46,XX

c. 46,XY

d. 45,X/46,XX

b Lower Outflow Tract Obstruction

Which of the following is NOT derived from the müllerian ducts?

a. Cervix

b. Lower vagina

c. Upper vagina

d. Fallopian tube

b Müllerian Defects

An 18-year-old nulligravida presents with primary amenorrhea. Her examination is notable for Tanner stage IV breasts and the absence of pubic and axillary hair. Also, a blind ending vagina is identified. What is the likely diagnosis in this patient?

a. Müllerian agenesis

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