SlideShare a Scribd company logo
1 of 54
Menstrual dysfunction
Functional components of menstruation ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Amenorrhea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The hypothalamic amenorrhea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Psychogenic amenorrhea  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Amenorrhea during falls pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Anorexia Nervosa ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],Anorexia Nervosa
Female Athlete Triad Eating disorder/disordered eating Amenorrhea Osteoporosis
Amenorrhea as a symptom   of adiposogenital dystrophy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
tumours  of the  hypothalamus Diagrammatic representation of empty sella syndrome.  A, Normal anatomic relationship. B, C, and D, Progression in development of empty sella syndrome. Note thinning of floor and symmetric enlargement of sella turcica.
Amenorrhea as a symptom of the Laurence-Moon-Barde-Bidle syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Amenorrhea as a symptom of the Morghani-Stuart syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hyperprolactinemia has such causes: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The pituitary amenorrhea ,[object Object],[object Object],[object Object],[object Object]
Amenorrhea in case of  pituitary nanism ,[object Object],[object Object]
Amenorrhea in case of gigantism and acromegalia ,[object Object],[object Object]
Itsenko-Cushing syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Itsenko-Cushing syndrome
“ Moon face” Plethoric face (NO HIRSUTISM) Supra- clavicular fat pads
Sheehan's Syndrome ,[object Object],[object Object],[object Object]
The ovarian amenorrhea ,[object Object],[object Object]
What is Turner syndrome? ,[object Object],[object Object]
Genetic causes ,[object Object],[object Object],[object Object]
Symptoms
Clinical features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gonadal failure Internal genitalia of patient with gonadal dysgenesis (Turner syndrome),  featuring normal but infantile uterus, normal fallopian tubes, and pale,  glistening "streak" gonads in both broad ligaments.
Diagnosis ,[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Polycystic Ovarian Syndrome Sagittal section of a polycystic ovary illustrating large number of follicular cysts and thickened stroma.
Pathology ,[object Object],[object Object],[object Object],[object Object]
Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
The uterine form of amenorrhea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Imperforate Hymen
Mayer-Rokitansky-Kuster-Hauser Syndrome (utero-vaginal agenesis) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
X-ray film of patient with Asherman syndrome. Patient (33 years, gravida 3, para O, abortus 3) had been amenorrheic for 6 months after D&C for most recent therapeutic abortion (TAB). Filling of endocervical canal and nonvisualization of endometrial cavity are consistent with complete obliteration of cavity by adhesions or with obstruction at internal os level by adhesions in lower endometrial cavity. This appearance may also be seen with advanced endometrial tuberculosis. Asherman syndrome
[object Object]
Premenstrual syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mastodynia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Dysmenorrhea ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],Dysmenorrhea
Treatment of dysmenorrhea ,[object Object],[object Object],[object Object],[object Object]
Abnormal uterine bleeding ,[object Object],[object Object],[object Object]
Patterns of Abnormal Uterine Bleeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evaluation of abnormal uterine bleeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dysfunctional uterine bleeding ,[object Object],[object Object],[object Object],[object Object],[object Object]
Postmenopausal bleeding ,[object Object]
Gynecologic causes of bleeding  ,[object Object],[object Object],[object Object]
[object Object]

More Related Content

What's hot (20)

Guidelines For Management Of Adolescent PCOS
Guidelines For Management Of  Adolescent PCOSGuidelines For Management Of  Adolescent PCOS
Guidelines For Management Of Adolescent PCOS
 
27.Amenorrhea
27.Amenorrhea27.Amenorrhea
27.Amenorrhea
 
Amenorrhoea for undergraduates
Amenorrhoea for undergraduatesAmenorrhoea for undergraduates
Amenorrhoea for undergraduates
 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
 
Amenorrhea
Amenorrhea Amenorrhea
Amenorrhea
 
amenorrhea
amenorrheaamenorrhea
amenorrhea
 
amenorrhea
amenorrheaamenorrhea
amenorrhea
 
Primary amenorrhea and management
Primary amenorrhea and managementPrimary amenorrhea and management
Primary amenorrhea and management
 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
 
Amenorrhea ppt
Amenorrhea pptAmenorrhea ppt
Amenorrhea ppt
 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
 
Amenorrhoea
Amenorrhoea Amenorrhoea
Amenorrhoea
 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
 
Amenorrhoea chitwan
Amenorrhoea chitwanAmenorrhoea chitwan
Amenorrhoea chitwan
 
Endo Reproduction
Endo ReproductionEndo Reproduction
Endo Reproduction
 
Amenorrhea NISHTAR
Amenorrhea NISHTARAmenorrhea NISHTAR
Amenorrhea NISHTAR
 
Amenorrhoea Amenorhhea
Amenorrhoea AmenorhheaAmenorrhoea Amenorhhea
Amenorrhoea Amenorhhea
 

Viewers also liked

Viewers also liked (20)

Menstrual cycle & abnormalities
Menstrual cycle & abnormalitiesMenstrual cycle & abnormalities
Menstrual cycle & abnormalities
 
Menstrual cycle
Menstrual cycle Menstrual cycle
Menstrual cycle
 
Menstrual disorders
Menstrual disorders Menstrual disorders
Menstrual disorders
 
Menstrual disorders
Menstrual disordersMenstrual disorders
Menstrual disorders
 
Menstruation and menstrual disorders
Menstruation and menstrual disordersMenstruation and menstrual disorders
Menstruation and menstrual disorders
 
Menstrual disorders
Menstrual disordersMenstrual disorders
Menstrual disorders
 
Group project
Group projectGroup project
Group project
 
Practical approach to amenorrhea warda
Practical approach to amenorrhea wardaPractical approach to amenorrhea warda
Practical approach to amenorrhea warda
 
Disorders of menstruation
Disorders of menstruationDisorders of menstruation
Disorders of menstruation
 
Abnormal uterine bleeding
Abnormal uterine bleedingAbnormal uterine bleeding
Abnormal uterine bleeding
 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
 
Management of menorrhagia
Management of menorrhagiaManagement of menorrhagia
Management of menorrhagia
 
Abnormal uterine bleeding
Abnormal uterine bleedingAbnormal uterine bleeding
Abnormal uterine bleeding
 
Physiology of the menstrual cycle
Physiology of the menstrual cyclePhysiology of the menstrual cycle
Physiology of the menstrual cycle
 
Disorders of the menstrual cycle 1
Disorders of the menstrual cycle 1Disorders of the menstrual cycle 1
Disorders of the menstrual cycle 1
 
Dysmenorrhoea
DysmenorrhoeaDysmenorrhoea
Dysmenorrhoea
 
Management of menorrhagia
Management of menorrhagiaManagement of menorrhagia
Management of menorrhagia
 
Amenorrhea for undergraduate
Amenorrhea for undergraduateAmenorrhea for undergraduate
Amenorrhea for undergraduate
 
Bacillus
BacillusBacillus
Bacillus
 
Amenorrhea made easy slideshare 2015
Amenorrhea made easy   slideshare  2015Amenorrhea made easy   slideshare  2015
Amenorrhea made easy slideshare 2015
 

Similar to Menstrual dysfunction

Similar to Menstrual dysfunction (20)

Menses converted - copy
Menses converted - copyMenses converted - copy
Menses converted - copy
 
disordersofsexhormones-210927090005.pptx
disordersofsexhormones-210927090005.pptxdisordersofsexhormones-210927090005.pptx
disordersofsexhormones-210927090005.pptx
 
Copy Of Obs
Copy Of ObsCopy Of Obs
Copy Of Obs
 
Amenore - www.jinekolojivegebelik.com
Amenore - www.jinekolojivegebelik.comAmenore - www.jinekolojivegebelik.com
Amenore - www.jinekolojivegebelik.com
 
Precocious puberty
Precocious pubertyPrecocious puberty
Precocious puberty
 
Disorders of sex hormones
Disorders of sex hormonesDisorders of sex hormones
Disorders of sex hormones
 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
 
PCOS, Endometriosis and Pelvic Pain
PCOS, Endometriosis and Pelvic PainPCOS, Endometriosis and Pelvic Pain
PCOS, Endometriosis and Pelvic Pain
 
Polycystic ovarian syndrome
Polycystic ovarian syndromePolycystic ovarian syndrome
Polycystic ovarian syndrome
 
Polycystic Ovarian Syndrome/PCOS
Polycystic Ovarian Syndrome/PCOSPolycystic Ovarian Syndrome/PCOS
Polycystic Ovarian Syndrome/PCOS
 
Women's Disorders-Revised.ppt
Women's Disorders-Revised.pptWomen's Disorders-Revised.ppt
Women's Disorders-Revised.ppt
 
Menstrual irregularities
Menstrual irregularitiesMenstrual irregularities
Menstrual irregularities
 
Precocious puberty
Precocious pubertyPrecocious puberty
Precocious puberty
 
Puberty disorders
Puberty disordersPuberty disorders
Puberty disorders
 
Pubertal disorders in children
Pubertal disorders in childrenPubertal disorders in children
Pubertal disorders in children
 
Obgyn Gyn Problems
Obgyn Gyn ProblemsObgyn Gyn Problems
Obgyn Gyn Problems
 
Polycystic overian syndrome
Polycystic overian syndromePolycystic overian syndrome
Polycystic overian syndrome
 
Womens Disorders.ppt
Womens Disorders.pptWomens Disorders.ppt
Womens Disorders.ppt
 
Womens disorders.ppt
Womens disorders.pptWomens disorders.ppt
Womens disorders.ppt
 
L45 Genital tract development and Puberty & their disorders
L45 Genital tract development and Puberty & their disordersL45 Genital tract development and Puberty & their disorders
L45 Genital tract development and Puberty & their disorders
 

More from Ruslan Migorianu

право пацієнта на конфіденційність інформації про його здоров’я.
право пацієнта на конфіденційність інформації про його здоров’я. право пацієнта на конфіденційність інформації про його здоров’я.
право пацієнта на конфіденційність інформації про його здоров’я. Ruslan Migorianu
 
положення про медичне обстеження, „телемедицину та медичну етику
положення про медичне обстеження, „телемедицину та медичну етикуположення про медичне обстеження, „телемедицину та медичну етику
положення про медичне обстеження, „телемедицину та медичну етикуRuslan Migorianu
 
Операции на шее
Операции на шееОперации на шее
Операции на шееRuslan Migorianu
 
Трансплантология и кожная пластика
Трансплантология и кожная пластикаТрансплантология и кожная пластика
Трансплантология и кожная пластикаRuslan Migorianu
 
Операции на голове
Операции на головеОперации на голове
Операции на головеRuslan Migorianu
 
Hemorhages during pregnancy
Hemorhages during pregnancyHemorhages during pregnancy
Hemorhages during pregnancyRuslan Migorianu
 
Benign & precancerous tumors of female genitale organs
Benign & precancerous tumors of female genitale organsBenign & precancerous tumors of female genitale organs
Benign & precancerous tumors of female genitale organsRuslan Migorianu
 
Endometrium Hyperplastic Processes
Endometrium Hyperplastic ProcessesEndometrium Hyperplastic Processes
Endometrium Hyperplastic ProcessesRuslan Migorianu
 

More from Ruslan Migorianu (10)

право пацієнта на конфіденційність інформації про його здоров’я.
право пацієнта на конфіденційність інформації про його здоров’я. право пацієнта на конфіденційність інформації про його здоров’я.
право пацієнта на конфіденційність інформації про його здоров’я.
 
положення про медичне обстеження, „телемедицину та медичну етику
положення про медичне обстеження, „телемедицину та медичну етикуположення про медичне обстеження, „телемедицину та медичну етику
положення про медичне обстеження, „телемедицину та медичну етику
 
Операции на шее
Операции на шееОперации на шее
Операции на шее
 
Operacii sosud
Operacii sosudOperacii sosud
Operacii sosud
 
Трансплантология и кожная пластика
Трансплантология и кожная пластикаТрансплантология и кожная пластика
Трансплантология и кожная пластика
 
Операции на голове
Операции на головеОперации на голове
Операции на голове
 
Hemorhages during pregnancy
Hemorhages during pregnancyHemorhages during pregnancy
Hemorhages during pregnancy
 
Benign & precancerous tumors of female genitale organs
Benign & precancerous tumors of female genitale organsBenign & precancerous tumors of female genitale organs
Benign & precancerous tumors of female genitale organs
 
Endometrium Hyperplastic Processes
Endometrium Hyperplastic ProcessesEndometrium Hyperplastic Processes
Endometrium Hyperplastic Processes
 
Noncarrying of pregnancy
Noncarrying of pregnancyNoncarrying of pregnancy
Noncarrying of pregnancy
 

Menstrual dysfunction

  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. Female Athlete Triad Eating disorder/disordered eating Amenorrhea Osteoporosis
  • 12.
  • 13. tumours of the hypothalamus Diagrammatic representation of empty sella syndrome. A, Normal anatomic relationship. B, C, and D, Progression in development of empty sella syndrome. Note thinning of floor and symmetric enlargement of sella turcica.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22. “ Moon face” Plethoric face (NO HIRSUTISM) Supra- clavicular fat pads
  • 23.
  • 24.
  • 25.
  • 26.
  • 28.
  • 29. Gonadal failure Internal genitalia of patient with gonadal dysgenesis (Turner syndrome), featuring normal but infantile uterus, normal fallopian tubes, and pale, glistening "streak" gonads in both broad ligaments.
  • 30.
  • 31.
  • 32. Polycystic Ovarian Syndrome Sagittal section of a polycystic ovary illustrating large number of follicular cysts and thickened stroma.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 40.
  • 41. X-ray film of patient with Asherman syndrome. Patient (33 years, gravida 3, para O, abortus 3) had been amenorrheic for 6 months after D&C for most recent therapeutic abortion (TAB). Filling of endocervical canal and nonvisualization of endometrial cavity are consistent with complete obliteration of cavity by adhesions or with obstruction at internal os level by adhesions in lower endometrial cavity. This appearance may also be seen with advanced endometrial tuberculosis. Asherman syndrome
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.