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Postpill Amenorrhea

Post Pill Amenorrhea


Presentation

  • While we make every effort to present accurate and reliable information, this publication is provided “as is” without any warranty of accuracy, reliability, or otherwise, either express or implied.[exxcellence.org]
  • Several women experiencing post-pill amenorrhea have presented in this clinic in the past few months. Generally, it is considered to be amenorrhea if no natural menstrual cycle has occurred within six months of stopping the contraceptive pill.[healinghaven.ie]
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  • Developmentally and psychologically the danger of delayed growth as a result of the steroids present in the ovulation inhibitors is small.[read.qxmd.com]
  • The first response one showed nothing within 10 minutes, but within 1 hour a think white line was present... after I took the test apart...hrmmm...also for fun I dipped it back in water and the line stayed there.[essentialbaby.com.au]
Raynaud Phenomenon
  • WebMD Symptom Checker helps you find the most common medical conditions indicated by the symptoms Black colored skin and Cold feet and including Raynaud phenomenon There are two types of diabetes: Type 1 – Previously known as juvenile onset diabetes this[agharti.eu]
Blue Eyes
  • Shot on RED Cinema Camera in 4K (UHD). 4k 00:16 Blue eye extreme close-up of iris and pupil dilating and contracting. Very finely detailed, modeled from real human eye structures. Other eye colors available.[shutterstock.com]
Impulsivity
  • Flying across a neuronal network, electric impulses passes by it. Synapse. More options in my portfolio. 4k 00:11 Close Up of Newborn Baby Dreaming on Mothers Chest in Hospital Delivery Room 4k 00:19 Macro Close-up eye blinking.[shutterstock.com]
Papilledema
  • TERM Spring '17 PROFESSOR salman sulaiman TAGS Intracranial pressure, Combined oral contraceptive pill, Ovulation, Papilledema, post-pill amenorrhea What students are saying As a current student on this bumpy collegiate pathway, I stumbled upon Course[coursehero.com]
Lethargy
  • I decided to stop because it had started to become ineffective for treating my acne, and I began to experience other side effects, such as weight gain, mood swings, severe bloating/heartburn/other digestion issues, lethargy, fatigue, and many other problems[progesteronetherapy.com]
Amenorrhea
  • The ratio of LH to FSH in all cases exceeded unity, indicating that postpill amenorrhea is a type of functional secondary amenorrhea.[ncbi.nlm.nih.gov]
  • TY - JOUR T1 - [Endocrine profile of patients with post-pill amenorrhea].[unboundmedicine.com]
  • Cause of Post-pill Amenorrhea Post-pill amenorrhea is believed to be due to suppression of the pituitary gland by the birth control pills.[gynaeonline.com]

Workup

  • I would go see an obgyn or RE to get a new blood workup done. Even if your levels come back "normal", your dr may just give you Provera to induce a period to allow you to start clomid.[babybumpapp.com]
  • Initial workup of primary and secondary amenorrhea includes a pregnancy test and serum levels of luteinizing hormone, follicle-stimulating hormone, prolactin, and thyroid-stimulating hormone.[aafp.org]
  • A review of the literature of 33 cytogenetic studies composed of 1,757 phenotypic females with primary amenorrhea revealed a 32% incidence of chromosome abnormalities. 22 Figure 1 gives a schematic outline of the laboratory workup. Fig. 1.[glowm.com]

Treatment

  • The management of secondary amenorrhea can include medical or surgical treatments, depending on the etiology. Thyroid disease requires either medical or surgical treatment, with the needs for thyroxine replacement after treatment.[exxcellence.org]
  • She maintains a private practice in London, Ontario, focusing on naturopathic fertility treatment and women’s hormonal health.[ndnr.com]
  • But if the woman is anxious to get her periods, active treatment may be started after waiting for only three months. The standard treatment of post-pill amenorrhea is by stimulating the pituitary to produce FSH and LH.[coursehero.com]

Prognosis

  • PIP: Levels of follicle-stimulating hormone, luteinizing hormone, and prolactin were evaluated in 52 cases of post oral contraceptive (OC) amenorrhea in an effort to determine the causes, the prognosis and the treatment of this entity.[ncbi.nlm.nih.gov]
  • What Is Amenorrhea Prognosis? Amenorrhea is typically not a life-threatening condition. The prognosis for amenorrhea depends upon the underlying cause and the type of treatment that is available.[emedicinehealth.com]
  • If you are not sexually active, see your doctor if: You have missed three consecutive menstrual periods Your periods are irregular Prognosis In most instances, symptoms and conditions related to amenorrhea are reversible and treatable.[drugs.com]
  • However, it has some practical clinical value in that it may give a clue to etiology and prognosis.[glowm.com]

Etiology

  • The management of secondary amenorrhea can include medical or surgical treatments, depending on the etiology. Thyroid disease requires either medical or surgical treatment, with the needs for thyroxine replacement after treatment.[exxcellence.org]
  • Professor and Head, Department of Obstetrics and Gynecology, SCB Medical College, Cuttack, Orissa, India Chapter Keywords Amenorrhea, history of amenorrhea, amenorrhea mechanism, etiology of primary amenorrhea, secondary amenorrhea, weight related amenorrhea[jaypeedigital.com]
  • If the patient has normal pubertal development and a uterus, the most common etiology is congenital outflow tract obstruction with a transverse vaginal septum or imperforate hymen.[aafp.org]
  • Etiology Because multiple factors may play a role in the development of secondary amenorrhea, it is difficult to construct a complete etiologic classification.[glowm.com]
  • Dysfunctional Uterine Bleeding (DUB): Abnormal uterine bleeding in which no etiologic agent can be found after history and pelvic exam.[kumc.edu]

Epidemiology

  • Now we have the largest epidemiologic study of its kind, published in JAMA, out of Denmark, entitled Association of Hormonal Contraception with Depression . One million women ages 15-34 were followed for 13 years.[kellybroganmd.com]
  • .: Epidemiology of Secondary Amenorrhea. A.M. J. Obstet. Gynecol. 117: 80, 1983. KEYE W.R., CHANG J., JAFFE R.: Prolactin Secreting Pituitary Adenomas in Women with Amenorrhea or Galactorrhea. Obstet. Gynecol. Survey 32: 723, 1977.[revista.fecolsog.org]
  • Epidemiology of secondary amenorrhea. I. Incidence and prevalence rates. Am J Obstet Gynecol 1973; 117: 80-6. 5. Kesrouani A, Abdallah MA, Attieh E, Abboud J, Atallah D et al.[fcionline.com]
  • Introduction The time taken to conceive is a useful epidemiological measure of fecundity ( Baird et al ., 1986 ; Joffe, 1997 ).[academic.oup.com]
  • Epidemiology The prevalence of non-physiological amenorrhoea (in women of menstruating age) is around 3-4%. [ 1 ] Secondary amenorrhoea is more common in athletes.[patient.info]
Sex distribution
Age distribution

Pathophysiology

  • The pathophysiological characteristics of this uncommon condition are poorly understood. Postpill amenorrhea is rarely permanent.[medical-dictionary.thefreedictionary.com]
  • Defining the level of primary dysfunction is critical in determining the pathophysiology of amenorrhea. Hypothalamus, pituitary and ovaries form a functional endocrine axis, known as HPO axis with hormonal regulations and feedback loops.[emedicine.medscape.com]
  • This distinction is descriptive and artificial, because the underlying pathophysiologic conditions responsible for primary or secondary amenorrhea may be similar.[glowm.com]

Prevention

  • Ovulation does not occur without FSH and LH and pregnancy is prevented. When a woman takes birth control pills for a sufficient length of time, the negative feedback to the pituitary gland may persist even after the pills are stopped.[gynaeonline.com]
  • The combination pill suppresses your natural hormone cycle and prevents ovulation. The mini pill thickens cervical mucus and thins uterine lining, so that if an egg is fertilized, it cannot implant.[avawomen.com]
  • With amenorrhea, we have to find other proxies to establish what is preventing the cycle from re-establishing itself.[healinghaven.ie]
  • Polycystic Ovarian Syndrome (PCOS) PCOS is a syndrome associated with hormonal imbalances that can prevent ovulation and cause a variety of symptoms including period problems, infertility, excessive hair growth, acne and weight gain.[thisislifeblood.com]

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