Most common cause of secondary amenorrhoea-
Correct Answer: Pregnancy
Description: Ans-B i.e., Pregnancy Secondary amenorrhoea o The absence of menstruation for 3 normal cycles or for 6 months or more in a woman with previous norma menstrual pattern in the absence of pregnancy and lactation. o Pregnancy is the most common cause of secondary amenorrhoea. The causes can be classified as follows: Physiological o Pregnancy o Lactation Pathological o Genital tract # Acquired obstruction (gynatresia) of cervical # Asherman's syndrome following excessive curettage, uterine infection or endometrial tuberculosis, transcervical resection of endometrium for dysfunctional uterine bleeding (DUB). # Vesicovaginal fistula-cause unknown. o Ovarian causes # Surgical extirpation. # Radiotherapy. # Autoimmune disease. # Induction of multiple ovulation in infertility-leading to premature menopause. # Polycystic ovarian disease (PCOD). # Resistant ovarian syndrome-due to absent FSH receptors. # Infections-mumps, tuberculosis, rarely pyogenic infections. # Masculinizing ovarian tumours. # Premature menopause. o Nutritional causes # Anorexia nervosa, bulimia. # Extreme obesity. # Excessive weight loss in athletes and ballet dancers. o Pituitary causes # Insufficiency as in Simmonds disease, Sheehan's syndrome. # Hyperprolactinaemia. # Tumours like prolactinomas and chromophobe adenomas, and Cushing's disease. # Empty sella syndrome. # Drugs-tranquillizers, oral contraceptive (OC) pills, metoclopramide, dopamine blockers, antihypertensives, antidepressants, cimetidine and phenothiazine. o Hypothalamus # GnRH deficiency. # Vigorous exercise. # Pseudocyesis. # Brain tumours. # Anorexia nervosa. o Suprarenal causes # Addison's disease. # Adrenogenital syndrome. # Suprarenal tumours. o Thyroid # Hypothyroidism, chest wall lesions. # Graves disease. o Other causes # Diabetes. # Tuberculosis-liver disease. # Renal disease-due to reduced excretion of LH and prolactin. # Severe anaemia, malnutrition.
Category:
Unknown
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now