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AMENORRHEA

Dr.H. Zain Alkaff, SpOG, KFER

Amenorrhea (6 bulan): 1. Eug g: symtom : a. anatomic b. genetic c. phisiologic d. emotional 2. hyper gonadotropic 3. hypo gonadotropic

Menstruasi, syarat: 1. anatomis 2. endometrium 3. axis hypotalamus 4. hormon : - FSH E2 - LH progesteron

Phisiologi: 1. hamil, HSG 2. menarche 2-12-24 bulan 3. menopause


Pathologi: 1. 14 tahun: sexual sec (-) 2. 16 tahun: sexual sec (+) 3. secundair amenorrhea

I.
1.

EUGONADOTROPIC
Congenital: A. Rokitansky-Kuster Hauser - kegagalan fusi - vaginal agenesis - ovarium normal - kelainan ren B. Hymen imperforota (septum transverse vaginam) - sakit - endometiosis - infertil

2. Acquired A. - Asherman - TBC B. Androgen - adrenal - ovarium

II.

HYPERGONADOTROPIC
1. Chromosome Abnormal 2. Chromosome Normal: a. Gonadal agenesis b. Ovarian Insensitivity c. Androgen Sensitivity

III. HYPOGONADOTROPIC

1. 2. 3. 4. 5.

KALMANNS Emotional Nutrisi Obat-obatan Kelainan Hipophise

EVALUASI
1. History a. Umur b. Emosi c. Sexual 2. Phisic a. Menarche mundur b. - masculinisasi - Thyroid 3. Laboratoris a. Primair amenorrhea b. Secundair amenorrhea

Secundair Amenorrhea
1. 2. 3. 4. 5. 6. HCG Progesteron Challenge Potensi endometrium Prolactin Testosteron & DHEA SO4 Thyroid

Primair Amenorrhea
1. Gonadotropin 2. Pyelogram 3. Laparoscopi

Therapy
A. Eugonadotropic 1. congenital 2. Asherman B. Hypogonadotropic 1. progestin 4. Bromocryptin 2. CC 5. operasi 3. Thyroid & adrenal C. Hypergonadotropic 1. HRT 2. Sequential HT: .secondary sec 3. Surgical

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