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Colegio de Medicos y Cirujanos República de Costa Rica
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2012, Number 601

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Rev Med Cos Cen 2012; 69 (601)

Amenorrea primaria en adolescentes un abordaje práctico

Morales LR
Full text How to cite this article

Language: Spanish
References: 14
Page: 101-105
PDF size: 230.66 Kb.


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ABSTRACT

Spontaneous amenorrhea is the absence of menstruation in women of reproductive age. Amenorrhea in adolescents has traditionally been divided into primary and secondary. Primary amenorrhea is diagnosed if a patient has normal secondary sexual characteristics but no menarche at 16 years of age, or if a patient has no secondary sexual characteristics and menarche at 14 years of age; Primary amenorrhea has a prevalence of 3% in adolescents in the United States. Its etiology is variable as shown in Table 1 and for a proper diagnosis it requires a thorough history and appropriate physical examination, the help of laboratory tests and imaging studies complementary. The treatment of primary amenorrhea depends on the cause. The main objective is to ensure that normal puberty is happening. Clearly the normal menstrual cycle involves a complex interaction between the hypothalamic-pituitaryovarian, so any disruption in this interaction can cause menstrual disorders.


REFERENCES

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  2. Allesandro D. Genazzani, et al. Diagnostic and Therapeutic Approach to Hypothalamic Amenorrhea. New York Academy of Sciences . 2006; 1092: 103-113 .

  3. Catherine J Hayden, Adam H Balen. Primary amenorrhea: investigation and treatment. Obstetrics, Gynecology and reproductive Medicine. 2007 ; 17:7 pp 199-204.

  4. Diana L. Heiman. Amenorrhea. Primary Care Office Practice 36. Elsevier .2009 pp1-17.

  5. Donald E Greyadanus,et al. Menstrual Disorders in Adolescent Females: Current Concepts. Disamonth. February, 2009; 55, pp45-113.

  6. Efthimios Deligeoroglou, et al. Evaluation and magnament of adolescent amenorrhea. Annals of the New York Academy of Sciences.2010, 1205, pp23-32.

  7. Efthimios Deligeoroglou, et al. Menstrual disturbances in puberty. Best Practice & Reseacrch Clinical Obstetrics and Gynaecology. 2010, (24), pp157-171.

  8. H.Dadgostar, et al. The relation between athletic sports and prevalence of amenorrea and oligomenorrhea in Iranian female athletes. Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology. 2009. 1:16.

  9. Marcelino H. Valencia, A. Zárate. Amenorrea y trastornos de la menstruación. Acta Médica Grupo Ángeles. 2006. Vol4, n°3, pp197-201.

  10. María E. escobar, et al. Trastornos del ciclo menstrual en la adolescencia.Arch Argent pediátricos.2010 ; 108 (4): 363-369.

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  12. Paula J. Adams, Helen R. Deitch. Menstrual Disorders in the College Age Female . Pediatric Clinics of North America 52 . 2005. Pp179-197.

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  14. Tim Child. Investigation and treatment of primary amenorrhea. Obstetrics, Gynaecology and Reproductive Medicine. 2010. 21: 2, pp31-35.




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Rev Med Cos Cen. 2012;69