2.................. - mercedes

[ArchivalUser]

2-After 6 month when she stopped OCPs, a 35 y/o woman hasn't get menses till that time, her Prolactine levels is high (50) but she doesn™t have galactorrhea. what is the diagnosis ?
A- Post Pills Amenorrhea
B- Prolactenoma

[ArchivalUser]

AAAAA

[ArchivalUser]

A

[ArchivalUser]

what about elevated prolacten

and somebody blease tell me about post pill syndrom , its the first time i hear about it

[ArchivalUser]

OCP WILL PRODUCE NORMAL AMMENOEHEOA FOE 2 TO 3 MONTH ...BUT IF THE AMMENORHEOA EXCEED 6 MONTH ..WE THINK OF POST PILL AMMENNOEOA SYNDROME

[ArchivalUser]

A- Post Pills Amenorrhea

[ArchivalUser]

. Following OC use, women often experience some delay in resuming normal menses, but according to most studies, fewer than 1% fail to begin menstruating regularly within 6 months.
In about 1/2 of this small percentage of women, failure to resume normal menses within 6 months is caused by an identifiable underlying disorder.
The remaining 1/2 are considered to have "postpill amenorrhea," the result of a disruption of the normal hypothalamic-pituitary-ovarian feeding mechanism, which may be reversible with appropriate treatment. In evaluating patients with postpill amenorrhea, it is important to rule out premature ovarian failure, polycystic ovary syndrome, weight loss, and hyperprolactinemia before arriving at a diagnosis of idiopathic postpill amenorrhea.

Prior to 6 months, detailed laboratory evaluation is not indicated, but after 6 months of amenorrhea, the history and physical status should again be carefully evaluated. Any history of weight change, galactorrhea, hirsutism, headaches, or "hot flashes" should be noted. On examination, evidence of hirsutism, virilization, expressible galactorrhea, or ovarian enlargement should be sought. The presence of any of these findings warrants laboratory testing. Pregnancy should always be excluded before further testing. If the patient shows no clinical evidence of premature ovarian failure, polycystic ovaries, anorexia nervosa, or hyperprolactinemia, or if laboratory evaluation fails to confirm clinical suspicions, it is appropriate to wait another 6 months before further evaluation. These disorders may be differentiated from idiopathic postpill amenorrhea by measuring serum levels of gonadotropins, estradiol, testosterone, and prolactin and by sella polytomography.