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Obstetrical & Gynecological Survey, 2014
Puberty is a defining time of many adolescents' lives. It is a series of events that includes thelarche, pubarche, and menarche. Primary amenorrhea is the absence of menarche. There are numerous etiologies including outflow tract obstructions, gonadal dysgenesis, and anomalies of the hypothalamic axis.
Courtney A, Marsh, Frances W, Grimstad
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Puberty is a defining time of many adolescents' lives. It is a series of events that includes thelarche, pubarche, and menarche. Primary amenorrhea is the absence of menarche. There are numerous etiologies including outflow tract obstructions, gonadal dysgenesis, and anomalies of the hypothalamic axis.
Courtney A, Marsh, Frances W, Grimstad
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Prognosis in Primary Amenorrhea
Fertility and Sterility, 1978A retrospective review of 62 patients with primary amenorrhea indicates that thoughtful clinical evaluation combined with dynamic hypothalamic-pituitary testing can usually determine the etiology and prognosis. A careful history, consideration of chronologic age/bone age/height relationships, and assay of serum gonadotropins distinguished all patients ...
A C, Wentz, G S, Jones
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Contemporary issues in primary amenorrhea
Obstetrics and Gynecology Clinics of North America, 2003Reproductive medicine has changed dramatically since the 1981 publication of the study of patients presenting with pubertal amenorrhea. The breakdown of causes likely remains unchanged, with the four most common causes of primary amenorrhea being ovarian failure (48.5%), congenital absence of the uterus and vagina (16.2%), GnRH deficiency (8.3%), and ...
Lorna S, Timmreck, Richard H, Reindollar
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Pediatric nursing, 1989
Primary amenorrhea, or the absence of menarche, signals physical abnormality in 70% of afflicted girls. Nurses working with adolescents may prevent more serious problems through early identification and intervention.
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Primary amenorrhea, or the absence of menarche, signals physical abnormality in 70% of afflicted girls. Nurses working with adolescents may prevent more serious problems through early identification and intervention.
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JAMA, 1966
Eighteen cases of primary amenorrhea were studied endocrinologically and cytogenetically. A wide range of phenotypic expression and sex chromosome constitution was found, predominantly the typical picture of Turner's syndrome with an XO constitution in eight patients.
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Eighteen cases of primary amenorrhea were studied endocrinologically and cytogenetically. A wide range of phenotypic expression and sex chromosome constitution was found, predominantly the typical picture of Turner's syndrome with an XO constitution in eight patients.
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Primary Amenorrhea in a Teenager
Obstetrics & Gynecology, 2006A 15-year-old girl presented to her pediatrician with primary amenorrhea. She was worried because all of her friends had begun menstruating. Her pediatrician saw an abnormal vaginal opening and referred the patient to a gynecologist. The patient reported thelarche at age 11 and adrenarche at age 12.
Elisabeth H, Quint, Yolanda R, Smith
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Primary amenorrhea and pituitary adenomas
Fertility and Sterility, 1981From 1972 to 1980, 210 patients underwent transsphenoidal operation for removal of a prolactin-secreting tumor. Eight of the patients had primary amenorrhea. All eight patients had had a normal thelarche and pubarche without menarche, and all eight had hyperprolactinemia and abnormal findings on sella turcica tomography.
C B, Coulam +3 more
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Idiopathic Hypogonadotrophic Hypogonadal Primary Amenorrhea*
The Journal of Clinical Endocrinology & Metabolism, 1978A group of eight patients with idiopathic primary amenorrhea was studied in whom no organic or genetic lesion could be identified. To evaluate the hypothalamic-pituitary axis a sequential stimulation test (SST) was employed using insulin-induced hypoglycemia, followed by a combination of GnRH and TRH with a subsequent dose of GnRH.
O A, Kletzky +4 more
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