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amenorrhea ,[object Object],[object Object]
wikipedia  an  abnormal absence of menstruation. ORIGIN  from Greek
clinically Primary  Secondary
Classification  of amenorrhea ,[object Object],[object Object],[object Object],[object Object]
Events of Puberty  ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Events of Puberty
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Events of Puberty
functional menses  Compartment I outflow tract ( uterine target organ)  Compartment II ovary ( Estrogen & Progesterone)  Compartment III Anterior Pituitary  Compartment IV CNS ( Hypothalamic )
 
primary amenorrhea
primary amenorrhea  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
(Mayer-Rokitansky-Kuster-Hauser  syndrome)
 
46 XX
Typical features  of   Turner Syndrome
hypogonadotropic hypogonadism j بديل مواقع الكلامن والثاني
hypogonadotropic  hypogonadism ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
 
secondary  amenorrhea  Compartment I outflow tract ( uterine target organ)  ,[object Object],[object Object]
secondary  amenorrhea  ,[object Object],[object Object],[object Object],[object Object],[object Object],Compartment II Ovary  (Hypergonadotropic Hypogonadism)
secondary  amenorrhea  ,[object Object],[object Object],[object Object],Compartment III Anterior Pituitary
secondary  amenorrhea  ,[object Object],[object Object],[object Object],[object Object],[object Object],Compartment IV CNS ( Hypothalamic )
Clinical  assessment  1- BHCG  2- TFT 3- Prolactin  TOP Bottom
[object Object],[object Object],[object Object],Progesterone Challenge Test :
 
[object Object],[object Object],[object Object],estrogen progesterone challenge test
step 2
step 3
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