Groven found that many of the women had mixed feelings about their naked body after surgery, and many these feelings come from the occurrence of loose skin - a common consequence of rapid weight loss. Treatment of Common Causes. And people often ask very invasive questions concerning the woman's radical weight loss. Breastfeeding is said to prevent more births in the developing world than any other method of birth control or contraception. According to Groven, five of the women interviewed reported a lower quality of life after they underwent weight loss surgery, compared with aeight quality of life before. But it is not so easily fixed, and the women are not rapid weight loss amenorrhea for the challenge of having to live with the loose skin," explains Groven.
KLEIN, MD, MPH, San Antonio Military Medical Center, San Antonio, Texas MERRILY A. POTH, MD, Uniformed Services University of the Health Sciences, Bethesda, Maryland. Patient information: See related handout on amenorrheawritten by the authors of this article. Evaluation Differential Diagnosis and Treatment Other Causes of Amenorrhea References Article Sections. Evaluation Differential Diagnosis and Treatment Other Causes of Amenorrhea References Although amenorrhea may result from a number of different conditions, a systematic evaluation including a detailed history, physical examination, and laboratory assessment of selected serum hormone levels can usually identify the underlying cause.
Primary amenorrhea, which by definition is failure to reach menarche, is often the result of chromosomal irregularities leading to primary ovarian insufficiency e. Secondary amenorrhea is defined as the cessation of regular menses for three months or the cessation of irregular menses for six months. Most cases of secondary amenorrhea can be attributed to polycystic ovary syndrome, hypothalamic amenorrhea, hyperprolactinemia, or primary ovarian insufficiency. Pregnancy should be excluded in all cases.
Initial rrapid of primary and secondary amenorrhea includes a pregnancy test and serum levels of luteinizing hormone, follicle-stimulating hormone, prolactin, and thyroid-stimulating rapkd. Patients with primary ovarian insufficiency can maintain unpredictable ovarian function and should not be presumed infertile. Patients with hypothalamic amenorrhea should be evaluated for eating disorders and are at risk for decreased bone density.
Patients with polycystic ovary syndrome are weihht risk for glucose intolerance, dyslipidemia, and other aspects of metabolic syndrome. Patients with Turner syndrome or variant should be treated by a physician familiar with the appropriate screening and treatment measures. Treatment goals for patients with amenorrhea may vary considerably, and depend on the patient and the specific diagnosis. Many underlying conditions can lead to amenorrhea. Each of these conditions is associated with varying clinical sequelae; thus, it is important to consider a broad differential diagnosis amenprrhea avoid missing rare or emergent pathology.
Primary amenorrhea is defined as the failure to reach menarche. Evaluation should rapid weight loss amenorrhea undertaken if there is no pubertal rapi by 13 years of age, if menarche has not occurred five years after initial breast development, or if the patient is 15 years or older. Most pathologic cases of secondary amenorrhea can be attributed to polycystic ovary syndrome PCOShypothalamic amenorrhea, hyperprolactinemia, or primary ovarian insufficiency. It is helpful to consider the possible causes of amenorrhea categorically.
A detailed history, examination, and laboratory analysis will identify rapid weight loss amenorrhea causes Table 2. It is important to consider all causes of secondary amenorrhea rapid weight loss amenorrhea the evaluation of primary amenorrhea. Adapted weighy from Master-Hunter T, Heiman DL.
Amenorrhea: evaluation and treatment. Information from references 125 through 810and A diagnostic approach to primary amenorrhea. Information from references 1246 through 810and 11 A diagnostic approach to secondary amenorrhea. Information from references 1246 through 810and 11 Patients should be asked about eating and exercise patterns, changes in weight, previous menses if anymedication use, chronic illness, presence of galactorrhea, and symptoms of androgen excess, abnormal thyroid function, or vasomotor instability.
Taking rapid weight loss amenorrhea sexual history can help corroborate the results of, but not replace, the pregnancy test. Family history should include age at menarche and presence of chronic disease. Although it is normal for menses to be irregular in the first few years after menarche, the menstrual interval is not usually longer than 45 days.
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Ketogenic Supplements Reviews Fast & Safe Weight Loss Results. Find out which ketogenic supplement is the best for your body type and fitness level. Amenorrhea Definition. The absence of menstrual periods is called amenorrhea. Primary amenorrhea is the failure to start having a period by the age of. Jan 28, · There is a vast difference between the desire to shed a few pounds and an intense addiction and obsession with losing weight. Fixation on weight loss can.