Post Date November, 16 2024
Amenorrhea is a condition of abnormal menstruation in women, and ovarian amenorrhea also requires our full attention. Once abnormal manifestations occur, immediate examination and diagnosis are necessary.
Symptoms of ovarian amenorrhea
1. Amenorrhea: divided into primary amenorrhea and secondary amenorrhea, secondary amenorrhea occurs before the age of 40. Through a survey of a large sample of POF patients, it was found that there were no characteristic menstrual abnormalities before menopause. Some people experience sudden amenorrhea after regular menstruation, some experience amenorrhea after discontinuing birth control pills or childbirth, and some exhibit menstrual cycle and menstrual disorders before amenorrhea.
2. Infertility: Some patients with infertility are diagnosed with ovarian amenorrhea. Infertility is the main cause of consultation and distress for patients with ovarian amenorrhea. People with a history of ovarian amenorrhea should try to conceive as long as they have primary and secondary infertility.
3. Low estrogen symptoms: Low estrogen symptoms (such as hot flashes and/or difficult sexual intercourse) are rare in primary amenorrhea (22.2%) and are related to previous estrogen replacement therapy. Low estrogen symptoms are common in secondary amenorrhea (85.6%). This is consistent with the theory of estrogen reduction. These low estrogen symptoms also include atrophic vaginitis and atrophic urethritis such as frequent urination and painful urination.
4. Manifestations of associated autoimmune diseases: such as Addison's disease, thyroid disease, diabetes, lupus erythematosus, rheumatoid arthritis, vitiligo and Crohn's disease. In addition, there are hidden symptoms of adrenal insufficiency, such as recent weight loss, decreased appetite, unclear abdominal pain, weakness, increased skin pigmentation, and salt addiction.
Ovarian amenorrhea examination
1. Systemic examination: Pay attention to general development and nutritional status, mental and neurological types, intellectual level, and physical abnormalities. Measure the developmental status of height, weight, fingerspan, and secondary sexual characteristics as needed, including obesity, hirsutism, and lactation.
2. Black prickly skin sign: This is another sign of excessive androgen, often appearing as a gray brown color on the skin of the patient's neck, back, armpit, and groin, showing symmetry and gently stroking like velvet.
3. Gynecological examination: pay attention to the development of the vulva and the distribution of the vagina, whether there is clitoral hypertrophy, vaginal development, whether there is obstruction, deformity, atrophy of the vagina and hymen, whether the rich have no size, and whether the ovary is enlarged.
