Amenorrhea patient with abdominal discomfort

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?

Gynaecological disorders

Discussions

Dr. Sravanthi Nuthalapati
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.

12.Dec, 10:42am

Dr. Ashish Kumar
Ayurveda Specialist

What should be investigation....

12.Dec, 10:49am

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

12.Dec, 10:58am

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.

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....

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.

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!

12.Dec, 07:45pm

Dr. Ashish Kumar
Ayurveda Specialist

Thanks mam

12.Dec, 11:02pm

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

13.Dec, 06:40pm

Dr. Ashish Kumar
Ayurveda Specialist

Thanks sir

14.Dec, 09:51am

Dr. Madhan Kumar Madathupalayam Velusamy
Surgical Gastroenterologist

A

19.Mar, 11:51am

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