SlideShare a Scribd company logo
1 of 32
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 )
ย 
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)
ย 
46 XX
Typical features  of   Turner Syndrome
hypogonadotropic hypogonadism j ุจุฏูŠู„ ู…ูˆุงู‚ุน ุงู„ูƒู„ุงู…ู† ูˆุงู„ุซุงู†ูŠ
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]
ย 
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 :
ย 
[object Object],[object Object],[object Object],estrogen progesterone challenge test
step 2
step 3
thanks

More Related Content

What's hot

13 amenorrhea
13 amenorrhea13 amenorrhea
13 amenorrhea
obsgyna
ย 
27.Amenorrhea
27.Amenorrhea27.Amenorrhea
27.Amenorrhea
Deep Deep
ย 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
raj kumar
ย 
gynaecology.Sec amenorrhea.(dr.hana)
gynaecology.Sec amenorrhea.(dr.hana)gynaecology.Sec amenorrhea.(dr.hana)
gynaecology.Sec amenorrhea.(dr.hana)
student
ย 
Amenore - Over - www.jinekolojivegebelik.com
Amenore - Over - www.jinekolojivegebelik.comAmenore - Over - www.jinekolojivegebelik.com
Amenore - Over - www.jinekolojivegebelik.com
jinekolojivegebelik.com
ย 
Amenorrhoea Amenorhhea
Amenorrhoea AmenorhheaAmenorrhoea Amenorhhea
Amenorrhoea Amenorhhea
Jitendra Ingole
ย 
Endo Reproduction
Endo ReproductionEndo Reproduction
Endo Reproduction
Miami Dade
ย 

What's hot (20)

Amenorrhea ppt
Amenorrhea pptAmenorrhea ppt
Amenorrhea ppt
ย 
13 amenorrhea
13 amenorrhea13 amenorrhea
13 amenorrhea
ย 
amenorrhea
amenorrheaamenorrhea
amenorrhea
ย 
amenorrhea
amenorrheaamenorrhea
amenorrhea
ย 
amenorrhea
amenorrheaamenorrhea
amenorrhea
ย 
Amenorrhoea
Amenorrhoea Amenorrhoea
Amenorrhoea
ย 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
ย 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
ย 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
ย 
Amenorrhea NISHTAR
Amenorrhea NISHTARAmenorrhea NISHTAR
Amenorrhea NISHTAR
ย 
27.Amenorrhea
27.Amenorrhea27.Amenorrhea
27.Amenorrhea
ย 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
ย 
gynaecology.Sec amenorrhea.(dr.hana)
gynaecology.Sec amenorrhea.(dr.hana)gynaecology.Sec amenorrhea.(dr.hana)
gynaecology.Sec amenorrhea.(dr.hana)
ย 
Primary amenorrhea and management
Primary amenorrhea and managementPrimary amenorrhea and management
Primary amenorrhea and management
ย 
Amenore - Over - www.jinekolojivegebelik.com
Amenore - Over - www.jinekolojivegebelik.comAmenore - Over - www.jinekolojivegebelik.com
Amenore - Over - www.jinekolojivegebelik.com
ย 
Primary amenorrhea
Primary amenorrheaPrimary amenorrhea
Primary amenorrhea
ย 
Amenorrhea
Amenorrhea Amenorrhea
Amenorrhea
ย 
Amenorrhoea Amenorhhea
Amenorrhoea AmenorhheaAmenorrhoea Amenorhhea
Amenorrhoea Amenorhhea
ย 
PRIMARY AMENNORHOEA
PRIMARY AMENNORHOEAPRIMARY AMENNORHOEA
PRIMARY AMENNORHOEA
ย 
Endo Reproduction
Endo ReproductionEndo Reproduction
Endo Reproduction
ย 

Viewers also liked

Amenorrhoea
AmenorrhoeaAmenorrhoea
Amenorrhoea
pushpalatha57
ย 
Amenorrhea made easy slideshare 2015
Amenorrhea made easy   slideshare  2015Amenorrhea made easy   slideshare  2015
Amenorrhea made easy slideshare 2015
Mohammad Emam
ย 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
Mohd Hanafi
ย 
Primary amenorrhoea
Primary amenorrhoeaPrimary amenorrhoea
Primary amenorrhoea
drmcbansal
ย 
Menstrual dysfunction
Menstrual dysfunctionMenstrual dysfunction
Menstrual dysfunction
Ruslan Migorianu
ย 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
LPDTasTAFE
ย 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
B Johani
ย 
Menstruation and menstrual disorders
Menstruation and menstrual disordersMenstruation and menstrual disorders
Menstruation and menstrual disorders
Wuntima A. Kwame
ย 
The menstrual cycle
The menstrual cycleThe menstrual cycle
The menstrual cycle
Paulette Smith
ย 
gynaecology.Primary amenorrhea.(dr.sundus)
gynaecology.Primary amenorrhea.(dr.sundus)gynaecology.Primary amenorrhea.(dr.sundus)
gynaecology.Primary amenorrhea.(dr.sundus)
student
ย 

Viewers also liked (20)

Amenorrhoea
AmenorrhoeaAmenorrhoea
Amenorrhoea
ย 
Amenorrhea made easy slideshare 2015
Amenorrhea made easy   slideshare  2015Amenorrhea made easy   slideshare  2015
Amenorrhea made easy slideshare 2015
ย 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
ย 
Practical approach to amenorrhea warda
Practical approach to amenorrhea wardaPractical approach to amenorrhea warda
Practical approach to amenorrhea warda
ย 
How to approch a case of amenorrhea
How to approch a case of amenorrheaHow to approch a case of amenorrhea
How to approch a case of amenorrhea
ย 
Amenorrhea for undergraduate
Amenorrhea for undergraduateAmenorrhea for undergraduate
Amenorrhea for undergraduate
ย 
Primary amenorrhoea
Primary amenorrhoeaPrimary amenorrhoea
Primary amenorrhoea
ย 
Menstrual cycle & abnormalities
Menstrual cycle & abnormalitiesMenstrual cycle & abnormalities
Menstrual cycle & abnormalities
ย 
Menstrual dysfunction
Menstrual dysfunctionMenstrual dysfunction
Menstrual dysfunction
ย 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
ย 
Gynecology 5th year, 1st lecture (Dr. Maryam)
Gynecology 5th year, 1st lecture (Dr. Maryam)Gynecology 5th year, 1st lecture (Dr. Maryam)
Gynecology 5th year, 1st lecture (Dr. Maryam)
ย 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
ย 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
ย 
Amenore - www.jinekolojivegebelik.com
Amenore - www.jinekolojivegebelik.comAmenore - www.jinekolojivegebelik.com
Amenore - www.jinekolojivegebelik.com
ย 
Puberty
PubertyPuberty
Puberty
ย 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
ย 
Alteraciones del Ciclo Menstrual y Sindrome de Ovario Poliquรญstico
Alteraciones del Ciclo Menstrual y Sindrome de Ovario PoliquรญsticoAlteraciones del Ciclo Menstrual y Sindrome de Ovario Poliquรญstico
Alteraciones del Ciclo Menstrual y Sindrome de Ovario Poliquรญstico
ย 
Menstruation and menstrual disorders
Menstruation and menstrual disordersMenstruation and menstrual disorders
Menstruation and menstrual disorders
ย 
The menstrual cycle
The menstrual cycleThe menstrual cycle
The menstrual cycle
ย 
gynaecology.Primary amenorrhea.(dr.sundus)
gynaecology.Primary amenorrhea.(dr.sundus)gynaecology.Primary amenorrhea.(dr.sundus)
gynaecology.Primary amenorrhea.(dr.sundus)
ย 

Similar to Amenorrhea

Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
Dr. Rubz
ย 
secondary amenorrhoea lectures.ppt
secondary amenorrhoea lectures.pptsecondary amenorrhoea lectures.ppt
secondary amenorrhoea lectures.ppt
ParulSinha25
ย 
46 47.1 esm-ipn_art_gineco_current_evaluation_of_amenorrhea_1a_y_2a_2008
46 47.1 esm-ipn_art_gineco_current_evaluation_of_amenorrhea_1a_y_2a_200846 47.1 esm-ipn_art_gineco_current_evaluation_of_amenorrhea_1a_y_2a_2008
46 47.1 esm-ipn_art_gineco_current_evaluation_of_amenorrhea_1a_y_2a_2008
guestcc081f
ย 
Bleeding in early pregnancy
Bleeding in early pregnancyBleeding in early pregnancy
Bleeding in early pregnancy
Sushma Sharma
ย 
Delayed Puberty Topics in Adolescent Gynecology Delayed Puberty Topics in A...
Delayed Puberty Topics in Adolescent Gynecology 	 Delayed Puberty Topics in A...Delayed Puberty Topics in Adolescent Gynecology 	 Delayed Puberty Topics in A...
Delayed Puberty Topics in Adolescent Gynecology Delayed Puberty Topics in A...
MedicineAndHealth14
ย 

Similar to Amenorrhea (20)

oligmdLR4h57D9kK953.pptx
oligmdLR4h57D9kK953.pptxoligmdLR4h57D9kK953.pptx
oligmdLR4h57D9kK953.pptx
ย 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
ย 
Amenorrhea - Define, Cause, Sign and Symptoms, Type- Pathological and Physiol...
Amenorrhea - Define, Cause, Sign and Symptoms, Type- Pathological and Physiol...Amenorrhea - Define, Cause, Sign and Symptoms, Type- Pathological and Physiol...
Amenorrhea - Define, Cause, Sign and Symptoms, Type- Pathological and Physiol...
ย 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
ย 
secondary amenorrhoea lectures.ppt
secondary amenorrhoea lectures.pptsecondary amenorrhoea lectures.ppt
secondary amenorrhoea lectures.ppt
ย 
Causes Of Primary Amenorrhea
Causes Of Primary AmenorrheaCauses Of Primary Amenorrhea
Causes Of Primary Amenorrhea
ย 
46 47.1 esm-ipn_art_gineco_current_evaluation_of_amenorrhea_1a_y_2a_2008
46 47.1 esm-ipn_art_gineco_current_evaluation_of_amenorrhea_1a_y_2a_200846 47.1 esm-ipn_art_gineco_current_evaluation_of_amenorrhea_1a_y_2a_2008
46 47.1 esm-ipn_art_gineco_current_evaluation_of_amenorrhea_1a_y_2a_2008
ย 
Gyne 5.pdf
Gyne 5.pdfGyne 5.pdf
Gyne 5.pdf
ย 
L47 Amenorrhea
L47 AmenorrheaL47 Amenorrhea
L47 Amenorrhea
ย 
Pituitary tumours
Pituitary tumoursPituitary tumours
Pituitary tumours
ย 
Amenorrhoea
AmenorrhoeaAmenorrhoea
Amenorrhoea
ย 
L45 Genital tract development and Puberty & their disorders
L45 Genital tract development and Puberty & their disordersL45 Genital tract development and Puberty & their disorders
L45 Genital tract development and Puberty & their disorders
ย 
Bleeding in early pregnancy
Bleeding in early pregnancyBleeding in early pregnancy
Bleeding in early pregnancy
ย 
Delayed Puberty Topics in Adolescent Gynecology Delayed Puberty Topics in A...
Delayed Puberty Topics in Adolescent Gynecology 	 Delayed Puberty Topics in A...Delayed Puberty Topics in Adolescent Gynecology 	 Delayed Puberty Topics in A...
Delayed Puberty Topics in Adolescent Gynecology Delayed Puberty Topics in A...
ย 
Facial nerve and it's uses.pptx anatomy and description
Facial nerve and it's uses.pptx anatomy and descriptionFacial nerve and it's uses.pptx anatomy and description
Facial nerve and it's uses.pptx anatomy and description
ย 
Galactorrhea
GalactorrheaGalactorrhea
Galactorrhea
ย 
Infertility - causes and legal aspects
Infertility - causes and legal aspectsInfertility - causes and legal aspects
Infertility - causes and legal aspects
ย 
Pp h
Pp hPp h
Pp h
ย 
Copy Of Obs
Copy Of ObsCopy Of Obs
Copy Of Obs
ย 
Sheehan's syndrome
Sheehan's syndromeSheehan's syndrome
Sheehan's syndrome
ย 

Recently uploaded

Call Girls in Gagan Vihar (delhi) call me [๐Ÿ” 9953056974 ๐Ÿ”] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ”  9953056974 ๐Ÿ”] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [๐Ÿ”  9953056974 ๐Ÿ”] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ” 9953056974 ๐Ÿ”] escort service 24X7
9953056974 Low Rate Call Girls In Saket, Delhi NCR
ย 
VIP Service Call Girls Sindhi Colony ๐Ÿ“ณ 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony ๐Ÿ“ณ 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony ๐Ÿ“ณ 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony ๐Ÿ“ณ 7877925207 For 18+ VIP Call Girl At Th...
jageshsingh5554
ย 
Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls * UPA...
mahaiklolahd
ย 
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
chetankumar9855
ย 
Russian Call Girls Lucknow Just Call ๐Ÿ‘‰๐Ÿ‘‰7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call ๐Ÿ‘‰๐Ÿ‘‰7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call ๐Ÿ‘‰๐Ÿ‘‰7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call ๐Ÿ‘‰๐Ÿ‘‰7877925207 Top Class Call Girl Service...
adilkhan87451
ย 

Recently uploaded (20)

Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
ย 
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ” 9953056974 ๐Ÿ”] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ”  9953056974 ๐Ÿ”] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [๐Ÿ”  9953056974 ๐Ÿ”] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ” 9953056974 ๐Ÿ”] escort service 24X7
ย 
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
ย 
VIP Service Call Girls Sindhi Colony ๐Ÿ“ณ 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony ๐Ÿ“ณ 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony ๐Ÿ“ณ 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony ๐Ÿ“ณ 7877925207 For 18+ VIP Call Girl At Th...
ย 
Top Rated Hyderabad Call Girls Erragadda โŸŸ 9332606886 โŸŸ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda โŸŸ 9332606886 โŸŸ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda โŸŸ 9332606886 โŸŸ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda โŸŸ 9332606886 โŸŸ Call Me For Genuine ...
ย 
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
ย 
Top Rated Bangalore Call Girls Richmond Circle โŸŸ 9332606886 โŸŸ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle โŸŸ  9332606886 โŸŸ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle โŸŸ  9332606886 โŸŸ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle โŸŸ 9332606886 โŸŸ Call Me For Ge...
ย 
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
ย 
Best Rate (Patna ) Call Girls Patna โŸŸ 8617370543 โŸŸ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna โŸŸ 8617370543 โŸŸ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna โŸŸ 8617370543 โŸŸ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna โŸŸ 8617370543 โŸŸ High Class Call Girl In 5 ...
ย 
Call Girls Shimla Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Shimla Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Shimla Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Shimla Just Call 8617370543 Top Class Call Girl Service Available
ย 
Call Girls Service Jaipur {9521753030} โค๏ธVVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} โค๏ธVVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} โค๏ธVVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} โค๏ธVVIP RIDDHI Call Girl in Jaipur Raja...
ย 
Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls * UPA...
ย 
8980367676 Call Girls In Ahmedabad Escort Service Available 24ร—7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24ร—7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24ร—7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24ร—7 In Ahmedabad
ย 
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
ย 
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
ย 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
ย 
Night 7k to 12k Navi Mumbai Call Girl Photo ๐Ÿ‘‰ BOOK NOW 9833363713 ๐Ÿ‘ˆ โ™€๏ธ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo ๐Ÿ‘‰ BOOK NOW 9833363713 ๐Ÿ‘ˆ โ™€๏ธ night ...Night 7k to 12k Navi Mumbai Call Girl Photo ๐Ÿ‘‰ BOOK NOW 9833363713 ๐Ÿ‘ˆ โ™€๏ธ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo ๐Ÿ‘‰ BOOK NOW 9833363713 ๐Ÿ‘ˆ โ™€๏ธ night ...
ย 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
ย 
Russian Call Girls Service Jaipur {8445551418} โค๏ธPALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} โค๏ธPALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} โค๏ธPALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} โค๏ธPALLAVI VIP Jaipur Call Gir...
ย 
Russian Call Girls Lucknow Just Call ๐Ÿ‘‰๐Ÿ‘‰7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call ๐Ÿ‘‰๐Ÿ‘‰7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call ๐Ÿ‘‰๐Ÿ‘‰7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call ๐Ÿ‘‰๐Ÿ‘‰7877925207 Top Class Call Girl Service...
ย 

Amenorrhea