#MedicalCase
Amenorrhea patient with abdominal discomfort (Obstetrics and Gynecology)
Ashish Kumar., BAMS
Medical Case Details:
A female of 22 years age, unmarried, having amenorrhea since two years with abdominal discomfort and sometimes pain in the lower abdomen. How do we proceed with the treatment?Discussions
Dr. Sravanthi Nuthalapati
Obstetrician And Gynaecologist
Get an ultrasound pelvis, give a progesterone withdrawl n see.
Obstetrician And Gynaecologist
Get an ultrasound pelvis, give a progesterone withdrawl n see.
12.Dec, 10:40am
Dr. Richa Agarwal
Obstetrician And Gynaecologist
First she should be investigated,I view of amenorrhoea blood test as well as usg and in view to rule out pulmonary kochs and hormonal testing.
Obstetrician And Gynaecologist
First she should be investigated,I view of amenorrhoea blood test as well as usg and in view to rule out pulmonary kochs and hormonal testing.
12.Dec, 10:42am
Dr. Poornima K
Obstetrician And Gynaecologist
USG pelvis..give progesterone withdrawal, if negative oestrogen plus progesterone withdrawal, then history of Koch's, endometrial sample for TB PCR if sexually active...then D2 or 3 FSH, LH, PRL, AMH
Obstetrician And Gynaecologist
USG pelvis..give progesterone withdrawal, if negative oestrogen plus progesterone withdrawal, then history of Koch's, endometrial sample for TB PCR if sexually active...then D2 or 3 FSH, LH, PRL, AMH
12.Dec, 10:58am
Dr. Poornima K
Obstetrician And Gynaecologist
USG pelvis..give progesterone withdrawal, if negative oestrogen plus progesterone withdrawal, then history of Koch's, endometrial sample for TB PCR if sexually active...then D2 or 3 FSH, LH, PRL, AMH, and TSH
Obstetrician And Gynaecologist
USG pelvis..give progesterone withdrawal, if negative oestrogen plus progesterone withdrawal, then history of Koch's, endometrial sample for TB PCR if sexually active...then D2 or 3 FSH, LH, PRL, AMH, and TSH
▲ 1
12.Dec, 10:59am
Dr. Nilange Umamaheshwari Mrutyunjaya
Obstetrician And Gynaecologist
Hi...detailed history is important about her previous menstrual cycle whether flow was normal or scanty. any h/ o sudden weight gain or weight loss, loss of appetite, stressful factors, h/o suggestive of hypothyroidism , then if she is needs a local examination of genitilia...to rule out local abnormality( this is to complete our examination as we should not miss anything)
investigations- usg , hormonal profile.d2 or d3 FSH,LH,TSH,PRL.AMH.
Obstetrician And Gynaecologist
Hi...detailed history is important about her previous menstrual cycle whether flow was normal or scanty. any h/ o sudden weight gain or weight loss, loss of appetite, stressful factors, h/o suggestive of hypothyroidism , then if she is needs a local examination of genitilia...to rule out local abnormality( this is to complete our examination as we should not miss anything)
investigations- usg , hormonal profile.d2 or d3 FSH,LH,TSH,PRL.AMH.
▲ 1
12.Dec, 12:20pm
Dr. Ashish Kumar
Ayurveda Specialist
Thanks mam
pt have previously scanty MC before 1 yr. but after that stop .
she have no history of wt gain or lose.and history of thyroid treatment but she is in stress and have complain of loss of appetite ,lower abdomen discomfort some time pain also.
local examination not done at all....
Ayurveda Specialist
Thanks mam
pt have previously scanty MC before 1 yr. but after that stop .
she have no history of wt gain or lose.and history of thyroid treatment but she is in stress and have complain of loss of appetite ,lower abdomen discomfort some time pain also.
local examination not done at all....
12.Dec, 12:26pm
Dr. Nilange Umamaheshwari Mrutyunjaya
Obstetrician And Gynaecologist
Hi....go for investigations and then we can review ..as you said no mensus , first get an ultrasound done. we will see the endometrial thickness . according ly we can plan whether to give E+ P if endometrium thin or only progesterone if endometrium is thick...then go for hormonal profile..you can TSH, PRL...no need to mensus to come for this test.
Obstetrician And Gynaecologist
Hi....go for investigations and then we can review ..as you said no mensus , first get an ultrasound done. we will see the endometrial thickness . according ly we can plan whether to give E+ P if endometrium thin or only progesterone if endometrium is thick...then go for hormonal profile..you can TSH, PRL...no need to mensus to come for this test.
12.Dec, 12:42pm
Dr. Aida Abaz Quka
Neurologist
It is necessary performing an abdominal ultrasound to exclude ovarian cysts.
Further tests to perform are sex hormone levels and prolactine levels.
Kind regards!
Neurologist
It is necessary performing an abdominal ultrasound to exclude ovarian cysts.
Further tests to perform are sex hormone levels and prolactine levels.
Kind regards!
12.Dec, 07:45pm
Dr. Vinod Kumar Gupta
Ayurveda Specialist
Hi Sir
This is a simple case of imbalance of hormones, bcz of low Hb/ blood levels.
So start with-
-Ferrum met 3x- 5 tabs-5-5-5 for 4 months
-Amenorrhea capsules are available in market, use 3 daily for 3-4 days
problem will be over
Further u can consult me if needed
Ayurveda Specialist
Hi Sir
This is a simple case of imbalance of hormones, bcz of low Hb/ blood levels.
So start with-
-Ferrum met 3x- 5 tabs-5-5-5 for 4 months
-Amenorrhea capsules are available in market, use 3 daily for 3-4 days
problem will be over
Further u can consult me if needed
▲ 1
13.Dec, 06:40pm
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