#MedicalCase

Amenorrhea patient with abdominal discomfort (Obstetrics and Gynaecology)

Dr. Ashish Kumar., BAMS, MS, PGDKK

 

Medical Case Details:

A female of 22 years age, unmarried, having amenorrhea since two years with abdominal discomfort and sometimes pain in the lower abdomen. How do we proceed with the treatment?

 


    Discussions


    Dr. Sravanthi Nuthalapati
    Obstetrician And Gynaecologist

    Get an ultrasound pelvis, give a progesterone withdrawl n see.

    12.Dec, 10:40am

    Dr. Richa Agarwal

    First she should be investigated,I view of amenorrhoea blood test as well as usg and in view to rule out pulmonary kochs and hormonal testing.

    12.Dec, 10:42am

    Dr. Ashish Kumar
    Ayurveda Specialist

    What should be investigation....

    12.Dec, 10:49am

    Dr. Poornima Kinila
    Obstetrician And Gynaecologist

    USG pelvis..give progesterone withdrawal, if negative oestrogen plus progesterone withdrawal, then history of Koch's, endometrial sample for TB PCR if sexually active...then D2 or 3 FSH, LH, PRL, AMH

    12.Dec, 10:58am

    Dr. Poornima Kinila
    Obstetrician And Gynaecologist

    USG pelvis..give progesterone withdrawal, if negative oestrogen plus progesterone withdrawal, then history of Koch's, endometrial sample for TB PCR if sexually active...then D2 or 3 FSH, LH, PRL, AMH, and TSH

    ▲ 1
    12.Dec, 10:59am

    Dr. Umamaheshwari Mrutyunjaya Nilange
    Obstetrician And Gynaecologist

    Hi...detailed history is important about her previous menstrual cycle whether flow was normal or scanty. any h/ o sudden weight gain or weight loss, loss of appetite, stressful factors, h/o suggestive of hypothyroidism , then if she is needs a local examination of genitilia...to rule out local abnormality( this is to complete our examination as we should not miss anything)
    investigations- usg , hormonal profile.d2 or d3 FSH,LH,TSH,PRL.AMH.

    ▲ 1
    12.Dec, 12:20pm

    Dr. Ashish Kumar
    Ayurveda Specialist

    Thanks mam
    pt have previously scanty MC before 1 yr. but after that stop .
    she have no history of wt gain or lose.and history of thyroid treatment but she is in stress and have complain of loss of appetite ,lower abdomen discomfort some time pain also.
    local examination not done at all....

    12.Dec, 12:26pm

    Dr. Umamaheshwari Mrutyunjaya Nilange
    Obstetrician And Gynaecologist

    Hi....go for investigations and then we can review ..as you said no mensus , first get an ultrasound done. we will see the endometrial thickness . according ly we can plan whether to give E+ P if endometrium thin or only progesterone if endometrium is thick...then go for hormonal profile..you can TSH, PRL...no need to mensus to come for this test.

    12.Dec, 12:42pm

    Dr. Aida Quka
    Neurologist

    It is necessary performing an abdominal ultrasound to exclude ovarian cysts.

    Further tests to perform are sex hormone levels and prolactine levels.

    Kind regards!

    12.Dec, 07:45pm

    Dr. Ashish Kumar
    Ayurveda Specialist

    Thanks mam

    12.Dec, 11:02pm

    Dr. Vinod Kumar Goyal
    Ayurveda Specialist

    Hi Sir
    This is a simple case of imbalance of hormones, bcz of low Hb/ blood levels.
    So start with-
    -Ferrum met 3x- 5 tabs-5-5-5 for 4 months
    -Amenorrhea capsules are available in market, use 3 daily for 3-4 days
    problem will be over
    Further u can consult me if needed

    ▲ 1
    13.Dec, 06:40pm

    Dr. Ashish Kumar
    Ayurveda Specialist

    Thanks sir

    14.Dec, 09:51am

    Dr. Madhankumar

    A

    19.Mar, 11:51am

    Dr. Madhankumar

    A

    19.Mar, 11:51am

    Dr. Madhankumar

    A

    19.Mar, 11:51am



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