原发性闭经的评估

padlock-locked登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
最后审阅： 25 四月 2022
最后更新： 06 七月 2018

小结

鉴别诊断

常见

  • 原发性下丘脑性闭经
  • 情绪/身心压力或女性运动员
  • 体质性发育延迟
  • 营养缺乏或慢性疾病状态
  • Kallman 综合征（促性腺激素分泌不足性性腺功能减退）
  • 高催乳素血症
  • 多囊卵巢综合征
  • 非典型的先天性肾上腺增生
  • Turner 综合征或混合性性生殖腺发育不全
  • MRKH综合征（苗勒管发育不全）
  • 流出道梗阻症状，包括处女膜闭锁或存在阴道横膈
完整详情

不常见

  • 颅咽管瘤
  • 促性腺激素释放激素（GnRH）受体缺陷
  • 脑炎后
  • 产生雄激素的卵巢肿瘤
  • 产生雄激素的肾上腺肿瘤
  • 双侧睾丸发育不全（Swyer 综合征）
  • 5-α-还原酶缺乏
  • 17α-羟化酶缺乏症
  • 雄激素不敏感综合征
完整详情
padlock-locked登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容

撰稿人

作者

Meir Jonathon Solnik, MD
Meir Jonathon Solnik

Associate Professor

Director

Division of Urogynecology

Director

Center for Minimally Invasive Gynecologic Surgery

Cedars-Sinai Medical Center

Los Angeles

CA

利益声明

MJS is a consultant for Medtronic, serves on the advisory boards of Abbvie and Allergan, and has been a moderator for Bayer.

鸣谢

MJS would like to gratefully acknowledge Jessica Papillon-Smith, a previous contributor to this topic. JP-S declares that she has no competing interests.

同行评议者

Joseph S. Sanfilippo, MD, MBA

Professor

Department of Obstetrics, Gynecology, and Reproductive Sciences

Vice Chairman

Reproductive Sciences

Director

Division of Reproductive Endocrinology and Infertility

University of Pittsburgh

Pittsburgh

PA

利益声明

JSS declares that he has no competing interests.

Mary Ann Lumsden, BSc Hons, MBBS, MRCOG, MD, FRCOG

Head of Section

Reproductive and Maternal Medicine

University of Glasgow Royal Infirmary

Glasgow

Scotland

利益声明

MAL declares that she has no competing interests.

Robert Shaw, MD

Professor and Chair

Department of Neurology

Wake Forest University School of Medicine

Winston-Salem

NC

利益声明

RS declares that he has no competing interests.

内容使用需遵循免责声明