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| Â | eMedicine - Amenorrhea : Article by Kenneth M Bielak, MD |
 | | Many of the treatment methods require surgery or specific therapies. | | | Premature ovarian failure can be idiopathic, secondary to chemotherapy or radiation therapy, or autoimmune in origin. | | | Organize clinical evaluation on the basis of sexual development and basic developmental physiology. |
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http://www.emedicine.com/ped/topic2779.htm
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| Â | eMedicine - Amenorrhea : Article by Lawrence M Nelson, MD, MBA |
| | Nutritional counseling alone is inadequate therapy for these women. | | | Prior history of chemotherapy or radiation therapy may be associated with ovarian failure. | | | Detecting this condition early is important because of the possible development of associated central adrenal insufficiency, a potentially fatal condition. |
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http://www.emedicine.com/med/topic117.htm
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| Â | Amenorrhea |
| | These patients can be worked up in a logical manner using a stepwise approach. | | | One approach is to get an estradiol level and if it is less than 30 pg/ml, counsel the patient that hormonal replacement therapy is indicated. | | | There are several ways that a workup for secondary amenorrhea can be approached. |
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http://www.advancedfertility.com/amenor.htm
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| Â | Missed Menstrual Periods (Amenorrhea) AHealthyMe.com |
| | Not all conditions can be treated, but any underlying condition that is treatable should be treated. | | | Prolonged amenorrhea can lead to infertility and other medical problems such as osteoporosis (thinning of the bones). | | | Women athletes at a particular risk for developing amenorrhea include ballerinas and gymnasts, who typically exercise strenuously and eat poorly. |
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http://www.ahealthyme.com/topic/topic13081
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| Â | Amenorrhea |
| | Adolescent smoking, weight changes, and binge-purge behavior: associations with secondary amenorrhea. | | | Refer to the individual herb for information about any side effects or interactions. | | | Prolonged amenorrhea can result in early bone loss and increased risk of |
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http://www.kroger.com/HN_Concern/Amenorrhea.htm
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| Â | Hospital Practice: Analyzing Amenorrhea |
| | If they later want to become pregnant, they are likely to require gonadotropin therapy to stimulate the ovaries and bring about ovulation. | | | In Speroff's approach, the physician begins the evaluation of a patient with amenorrhea with a thorough history and physical examination, and works up any causes of amenorrhea suggested by the results. | | | Braunstein provides a helpful case-based approach that can guide primary care physicians in the management of several common causes of this clinically important problem. |
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http://www.hosppract.com/issues/1998/07/dmmbrau.htm
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| Â | Topic: Lactational Amenorrhea (LAM) |
| | consensus statement on the effectiveness of the Lactational Amenorrhea Method (LAM) for family planning❈Visit fhi.org in: Español | | | Topic: Home > Natural Family Planning > Lactational Amenorrhea (LAM) | | | One goal of every successful family planning program is to offer a variety of contraceptive choices. |
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http://www.rhgateway.org/query.html?col=&ht=0&qp=&qs=&qc=&pw=100%&ws=0&la=en&qm=1&si=1&ct=1157582000
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| Â | Adult Health Advisor 2004.1: Missed Menstrual Periods (Amenorrhea) |
| | A problem with any of these parts of the body may keep you from having a period. | | | You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition. | | | Try to find out if there is any family history of a problem similar to yours. |
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http://www.med.umich.edu/1libr/aha/aha_amenor_crs.htm
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| Â | MedlinePlus Medical Encyclopedia: Amenorrhea - primary |
| | If the amenorrhea is caused by one of the following conditions, it is unlikely that the amenorrhea can be corrected by any method: | | | This will address specific concerns and provide guidance regarding anticipated sexual development. | | | If the condition is caused by systemic disease, treatment of the disease may allow menstruation to begin. |
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http://www.nlm.nih.gov/medlineplus/ency/article/001218.htm
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| Â | Amenorrhea |
| | Recognizing that bone loss can occur early in a woman's life is a crucial step in the prevention of this process. | | | The overall goal of treatment is to restore menses as soon as possible to minimize the loss of bone mass. | | | Hypothalamic amenorrhea (HA) due to anorexia, excessive exercise and stress can be extremely damaging to the body in many ways. |
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http://www.melpomene.org/articles/amenorrhea.htm
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| Â | THE MERCK MANUAL, Sec. 18, Ch. 235, Menstrual Abnormalities And Abnormal Uterine Bleeding |
| | Amenorrhea is traditionally categorized as primary (menarche has not occurred by age 16) or secondary (menses has not occurred for >= 3 mo in women who have had menses), although often this distinction is not clinically useful. | | | Women of reproductive age who have had menses should be evaluated if they are amenorrheic for >= 3 mo, have < 9 menses a year, or are concerned about a change in menstrual pattern. | | | Women with Asherman's syndrome or with tuberculosis affecting the endometrium may not bleed. |
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http://www.merck.com/pubs/mmanual/section18/chapter235/235d.htm
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| Â | MedlinePlus Medical Encyclopedia: Menstruation - absent |
| | In any case, psychosocial support and counseling for the patient and family is necessary to address specific concerns and provide guidance regarding anticipated sexual development. | | | The patient may be encouraged to discuss her fears and, if indicated, may be referred for psychological counseling. | | | This common cause of amenorrhea is treated by inducing ovulation with medication such as clomiphene citrate (Clomid) -- but only if the patient desires pregnancy. |
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http://www.nlm.nih.gov/medlineplus/ency/article/003149.htm
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| Â | amenorrhea on Encyclopedia.com |
| | Substantial proportions of contraceptive clinic clients would try methods that can cause amenorrhea. | | | It is caused by dysfunctioning of the pituitary gland, ovaries, uterus, and hypothalamus, by surgical removal of the ovaries or uterus, by medication, or by emotional trauma. | | | The female athlete triad.(onset of eating disorders, amenorrhea and osteoporosis in women athletes) |
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http://www.encyclopedia.com/html/a1/amenorrh.asp
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| Â | Dr. Koop - Amenorrhea- Health Encyclopedia and Reference |
| | Many women of reproductive age experience this at some point in their lives. | | | Some medications such as phenothiazines (used for psychiatric disorders) and some narcotics can cause amenorrhea. | | | So can anorexia nervosa, Cushing’s disease and other conditions related to pituitary insufficiency or thyroid problems. |
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http://www.healthscout.com/template.asp?page=ency&ap=43&encyid=161
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| Â | Go Ask Alice!: Missed periods |
| | Your provider will need to determine the causes of your amenorrhea if it is not due to problems with your hypothalamus. | | | Amenorrhea ("a" means without and "menorrhea" means menstrual flow) is the medical term for this condition. | | | Amenorrhea can have a negative impact on reproductive, endocrine, and muscular-skeletal systems. |
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http://www.goaskalice.columbia.edu/0814.html
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| Â | Tips for women with amenorrhea - Woman's Running |
| | Amenorrhea can also interfere with the ability to conceive easily should the athlete want to start a family. | | | This condition is called amenorrhea and is characterized by estrogen deficiency, similar to menopause. | | | The question remains unanswered: Why, given a group of women who have similar exercise programs and a low percent body fat, do some experience menstrual problems and others don't? |
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http://www.copacabanarunners.net/iameno.html
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| Â | Amenorrhea - Acupuncture.com |
| | Amenorrhea for several months, accompanied with restlessness and a tendency toward being easily angered, feelings of fullness in the chest and hypochondrium, distending pain in the lower abdomen. | | | Deficiency of Qi and Blood Gradual delay of menstruation with very little blood which is thin and reddish, ultimately leading to amenorrhea accompanied by dizziness, blurred vision, palpitations, shortness of breath or lusterless hair, emaciation with sallow complexion. | | | Primary amenorrhea of a patient over 18 years old, or delayed menstrual cycle with scanty menstruation leading gradually to amenorrhea, accompanied with constitutional debility, lassitude in the loins and legs, dizziness, and tinnitus. |
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http://www.acupuncture.com/Clinical/Amen.htm
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| Â | Diagnose-Me: Condition: Amenorrhea |
| | Most of the conditions that cause secondary amenorrhea will respond to treatment. | | | A diagnosis of amenorrhea can only be certain when the physician rules out other menstrual disorders, medical conditions, or medications that may be causing or aggravating the condition. | | | Specific treatment for amenorrhea will be determined by your doctor based on what is believed to be the cause. |
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http://www.diagnose-me.com/cond/C442611.html
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| Â | Amenorrhea |
| | Changes in body mass, stress (both physical and psychological), and drug abuse may cause hypothalamic amenorrhea due to brain dysfunction. | | | The consequences of untreated hypoestrogenemic amenorrhea include infertility, osteoporosis, cardiovascular disease, and the failure to go through puberty if the disorder arises early in life. | | | Central amenorrhea can be caused by disease of the brain or pituitary gland. |
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http://www.tjclarkminerals.com/Diseases/d_amenorrhea.htm
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| Â | Women's Health: The Comfort Zone - March 11, 1998 |
| | The patient with MRKH has amenorrhea or absence of periods. | | | Even if a patient has a partial uterus, it is usually removed due to stomach pains and the inability of menstruation to leave the body. | | | The reproductive problems may include a short or absent vagina, a partial or absent uterus, and infertility. |
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http://www.obgyn.net/women/articles/comfort/comfort008.htm
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| Â | Conditions InDepth: Menstrual Disorders: Menorrhagia (Heavy Bleeding) and Amenorrhea (Absence of Menstruation) |
| | Menorrhagia can be caused by a number of conditions and can lead to anemia, infertility, and other complications. | | | Amenorrhea can be caused by hormonal imbalances, hypothyroidism, eating disorders, psychiatric disorders, low or high body fat, rapid weight loss, excessive exercise or intense physical training, and a number of medical conditions. | | | Primary amenorrhea occurs when a girl does not start to menstruate within the normal time frame of sexual development (usually occurs by age 14; definite primary amenorrhea if no menses by 16). |
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http://healthinfo.healthgate.com/GetContent.aspx?token=b6097602-42e3-44e8-89c8-c88ab799256b&chunkiid=19841
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| Â | Amenorrhea |
| | Examine the patient and perform hormone or other tests as indicated. | | | Additional treatment may be required to achieve normal cycles and, when desired, pregnancy. | | | At Health Services, the general protocol for patients with amenorrhea is as follows: |
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http://www.brown.edu/Student_Services/Health_Services/Health_Education/general_health/wh_amenorrhea.htm
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| Â | Lactational amenorrhea for family planning (Cochrane Review) |
| | Search strategy: Data sources: MEDLINE searches from 1966 until 2002 and EMBASE from 1988 until 2002; reference lists of studies and review articles; books related to LAM; published abstracts from breastfeeding, reproductive health, contraceptive conferences; and e-mail communication with coordinators of such studies. | | | Two reviewers applied the following inclusion criteria: prospective study, cases and -if available- controls had to be sexually active, pregnancy had to be confirmed by physical examination or a pregnancy test. | | | Selection criteria: From 454 potentially relevant studies 154 investigated the risk of pregnancy during LAM or lactational amenorrhea. |
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http://www.update-software.com/abstracts/AB001329.htm
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| Â | Amenorrhea |
| | Primary amenorrhea - no menses by age 14 with absence of secondary sexual characteristics, or no menses by age 16 with normal secondary characteristics | | | Suppression of the hypothalamic-pituitary axis - post pill amenorrhea, stress, intercurrent illness, weight loss, low body mass index | | | Secondary amenorrhea - the cessation of menses for three cycles or 6 months of amenorrhea |
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http://www.5mcc.com/Assets/SUMMARY/TP0041.html
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