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بسم الله الرحمن الرحيم جامعة ام درمان الأسلامية كلية الطب والعلوم الصحية OBESTRICTIC PROBLEM Patch16-Group4 ezpaseva
AMENORRHEA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
oligomenorrhea ,[object Object],[object Object],[object Object],[object Object],[object Object],oligomenorrhea
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DYSMENORRHEA ,[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],[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]
MENORRHAGIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],2 . secondary;fibroid
[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],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ABNORMAL PUBERTY Puberty and pubertal changes may occur earlies than normal menstruation + secondary sexual characters become early in life  8-9  years or even  3-4  years of age Puberty and pubertal changes has not developed on  16-17 years old DEFINITION Precocious   puberty Delayed   puberty Subjective
1. Idiopathic 2. Intracranial lesion 3. Adrenal gland ,ovarian and Thyroid problem 4. Drugs Either   constitutional or pathological The pathological causes: 1- chromosomal abnormalities 2- Hypothalamic ,pitutary, Thyroid,Adrenal gland, Ovarian and Uterine causes CAUSES PRE puberty D puberty Subjectives
The Idiopathic   treated by:- 1- proestrogens 2- Danazol 3- Cyproteroneac- etate 4- LHRHanalogues ----- TREATMENT PRE puberty D puberty Subjectives
Sex Hormones & Function ,[object Object],[object Object],[object Object]
GnRH
FSH & LH
Progesterone & Estrogen ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Progesterone & Estrogen ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Menstrual cycle  ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Androgen Excess  ,[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],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2-Anti androgen.   3-corticosteroids.   4-promocriptin.   5-Insulin sensitive drugs.   6-surigcal .   7-diet. Treatment: 1- oral contraceptive.
Pre menstrual Syndromes PMS or PMTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Delay or absent Puberty  ,[object Object],[object Object],[object Object]
Precocious & Delayed puberty  ,[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],[object Object],[object Object],[object Object]
Hyper prolactinemia  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
-  Hypogondism produce by prolactinomas  is associated  with  osteoporosis due to estrogen deficiency. Treatment : Bromocriptine or other dopamine agonist - surgical. -Radio therapy.
[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],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Copy Of Obs

  • 1. بسم الله الرحمن الرحيم جامعة ام درمان الأسلامية كلية الطب والعلوم الصحية OBESTRICTIC PROBLEM Patch16-Group4 ezpaseva
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13. ABNORMAL PUBERTY Puberty and pubertal changes may occur earlies than normal menstruation + secondary sexual characters become early in life 8-9 years or even 3-4 years of age Puberty and pubertal changes has not developed on 16-17 years old DEFINITION Precocious puberty Delayed puberty Subjective
  • 14. 1. Idiopathic 2. Intracranial lesion 3. Adrenal gland ,ovarian and Thyroid problem 4. Drugs Either constitutional or pathological The pathological causes: 1- chromosomal abnormalities 2- Hypothalamic ,pitutary, Thyroid,Adrenal gland, Ovarian and Uterine causes CAUSES PRE puberty D puberty Subjectives
  • 15. The Idiopathic treated by:- 1- proestrogens 2- Danazol 3- Cyproteroneac- etate 4- LHRHanalogues ----- TREATMENT PRE puberty D puberty Subjectives
  • 16.
  • 17. GnRH
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27. 2-Anti androgen. 3-corticosteroids. 4-promocriptin. 5-Insulin sensitive drugs. 6-surigcal . 7-diet. Treatment: 1- oral contraceptive.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34. - Hypogondism produce by prolactinomas is associated with osteoporosis due to estrogen deficiency. Treatment : Bromocriptine or other dopamine agonist - surgical. -Radio therapy.
  • 35.