Hypomenorrhea

Hypomenorrhea: Causes

Pathogenesis (development of disease) Bleeding is too light in hypomenorrhea; the affected person uses less than two presentations per day. The cause is due to decreased hormone production or is endometrial (belonging to the lining of the uterus). Etiology (Causes) Behavioral causes Overweight (BMI ≥ 25; obesity). Disease-related causes Anorexia nervosa (anorexia nervosa) As an … Hypomenorrhea: Causes

Hypomenorrhea: Therapy

General measures Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised weight loss program; if the cause of hypomenorrhea is anorexia nervosa, see “Anorexia nervosa/Additional therapy“. Review of permanent medication due topossible effect on … Hypomenorrhea: Therapy

Hypomenorrhea: Medical History

Medical history (history of illness) represents an important component in the diagnosis of hypomenorrhea. Family history Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). When was your last menstrual period? How long has the change in menstruation existed? How … Hypomenorrhea: Medical History

Hypomenorrhea: Or something else? Differential Diagnosis

Endocrine, nutritional, and metabolic diseases (E00-E90). Obesity (overweight). Incipient ovarian failure (functional weakness of the ovaries). Psyche – Nervous System (F00-F99; G00-G99). Anorexia nervosa (anorexia nervosa) Genitourinary system (kidneys, urinary tract – sex organs) (N00-N99). Chronic endometritis (inflammation of the uterus). Endometritis tuberculosa – infection of the endometrium with tuberculosis bacteria. Obstruction (narrowing) of the … Hypomenorrhea: Or something else? Differential Diagnosis

Hypomenorrhea: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Abdominal wall and inguinal region (groin area). Gynecological examination Inspection Vulva (external, primary female sexual organs). Vagina (vagina) Cervix uteri (cervix), or portio (cervix; transition … Hypomenorrhea: Examination

Hypomenorrhea: Test and Diagnosis

1st order laboratory parameters – obligatory laboratory tests. HCG (human chorionic gonadotropin) determination – to exclude pregnancy. Laboratory parameters 2nd order – depending on the results of the history, physical examination, etc. -for differential diagnostic clarification. Inflammatory parameters – CRP (C-reactive protein).

Hypomenorrhea: Drug Therapy

Therapeutic goal or recommendations Hypomenorrhea that is not caused by disease does not require therapy and is not treatable by hormone administration. If possible and necessary, eumenorrhea (regular, symptom-free menstruation) is restored after treatment of the causes, which will not be discussed in this context because of their diversity. The therapy goal is therefore either … Hypomenorrhea: Drug Therapy

Hypomenorrhea: Diagnostic Tests

Obligatory medical device diagnostics. Vaginal ultrasonography (ultrasound examination using an ultrasound probe inserted into the vagina) – to assess the genital organs. Optional medical device diagnostics -depending on the results of the history, physicalexamination, laboratory diagnostics and obligatory medical device diagnostics – for differential diagnostic clarification. Computed tomography (CT) of the abdomen (abdominal CT) – … Hypomenorrhea: Diagnostic Tests

Hypomenorrhea: Prevention

To prevent hypomenorrhea, attention must be paid to reducing individual risk factors. Behavioral risk factors Overweight (BMI ≥ 25; obesity). Other risk factors Hormone-coated intrauterine device – contraceptive coil.