Premature ovarian function and the relationship between amenorrhea
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Amenorrhea is common clinical symptoms, their causes are complex, the causes can be divided into the central nervous system and the hypothalamus, pituitary, ovary and uterus of amenorrhea, including congenital Gonadal Dysgenesis and autoimmune ovarian inflammation. As such closure gonadotropin levels often associated with higher estrogen levels decrease, it said hypergonadotropic amenorrhea, gonadotropin levels higher than normal cycle or reached menopause, clinical manifestations of primary or secondary amenorrhea.
Etiology: (1), in embryonic development because of a lack of gonadotropin, and the process accelerated from follicle atresia and the lack of primordial follicles. (2), mumps virus infection gonad premature ovarian failure. (3), and chromosome abnormalities. (4), congenital reasons primordial follicle few remaining puberty to a few primordial follicles, soon to consumption. (5), autoimmune, anti-ovarian antibody. (6), the lack of enzyme. Chinese think: high gonadotropin amenorrhea as its main disease of the kidney failure Yang Zhen, precision blood shortage, blood emptiness, and no blood can be, it amenorrhea.
Clinical manifestations: adolescent development may have delayed menarche, the second of poor development, primary amenorrhea adult morbidity in walking for some time after amenorrhea and infertility, 20% -70% of patients with hot flashes, sweating and other menopause symptoms. Pelvic examination or within the normal genital atrophy, high FSH, LH, high level, low estrogen levels, some patients may have other functions in the low performance of endocrine glands.
The diagnosis: age before the age of 40 amenorrhea, progesterone points retreat test positive, with or without low estrogen, FSH> 40Iu / L, CH> 30Iu / L, E <40pg/ml, can be diagnosed as promoting high amenorrhea.
Treatment: estrogen and progesterone combined application of Chinese medicine to Zishen Bushen Yangxue Huoxue first meeting after the attack, developed by the House of Tamamaru Zishen, beneficial blood Seoul, after using dredge Murray 3-6 months can be effective.
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