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Sumario AMENORREAS EN GINECOLOGIA

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AMENORREAS EN GINECOLOGIA

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  • March 16, 2021
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  • 2019/2020
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Amenorreas primarias: es la ausencia de menarquia a los 14 años, con retraso del crecimiento o ausencia del
desarrollo de los caracteres sexuales secundarios o ausencia de menarquia a los 16 con desarrollo y crecimiento
normales y presencia de caracteres sexuales secundarios

Freciuencia 0,1% -> 48,5 son hipogonadismo hipergonadotropico 27,8% hipogonadismo hipogonadotropico y
23.7% eugonadismos

Hipogonadismo hipergonadotropico: presencia de gonadotropinas elevadas debido a la producción a nivel
SNC normal pero el ovario no es funcional por lo tanto no produce estradiol

Hipogonadismo hipogonadotropico: presencia de LH y FSH disminuidos son causadas por anomalías del
SNC, o síndrome de kallmann y afecta a mujeres de edad mediana,

Eugonadotropico: Hipoalamo e hipófisis funcionan bien pero las gonadas no debido a anomalías congénitas o
anatómicas




Amenorreas secundarias: Ausencia de menstruación durante 6 o más meses o un periodo equivalente a tres
de los intervalos intermenstruales habituales en mujeres que previamente había presentado menstruación.

Causas: Embarazo SOP (1x10), Hipotiroidismo (3.5x1000), prolactinomas (8.7x100.000)

Exámenes: FSH, LH Test de embarazo, TSH, Prolactina ecografía y hemograma

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