DIAGNOSTICS FINDINDS OFAMENORRHOEA

PHYSICAL EXTERNAL INTERNAL DIAGNOSIS INVESTIGATIONS

APPREANCE GENITALIA GENITALI
Normal breast normal Absence of vagina Mullerian agenesis (Mayer- u/s, laparoscopy,karyotype,
development and uterus Rokitansky-Kuster-Hauser
normal sexual hair Syndrome MRKH)
average stature
do Do normal Unresponsive endometrium Prog challenge test-neg
receptor defect hysteroscopy
Uterine synechiae
Poor breast Under developed Under developed Hypergonadotropic Prog challenge test –neg
development, hypogonadism Serum gonadotrophin
scanty pubic hair, Serum oestradial
aversge stature
Tall and lanky Under developed Under developed Primary ovulation failure Ovarian biopsy
Karyotype
Poor secondary sex Under developed Under developed Turners syndrome Laproscopy
characters Streak gonads Serum gonadotrophin karyotype
Short stature,
webbing of neck
and congenital
malformation of
cardiac renal or
great vessels
Normal breast Labial/ inguinal Short blind vagina Androgen insensitivity syndrome Laproscopy
development gonads Absence of uterus serum testosterone
without areolar karyotype
pigmentation,scanty gonadal biopsy
pubic and axillary
hair

Normal Labial fusion normal Adrenogenital syndrome Serum gonadotrophin

phenotypical Enlargement of
female average clitoris
stature
Hypogonadotropic Under developed underdeveloped Cretinism T3 T4 TSH
hypogonadis Hypothalamo- pituitary dysfunction
Short stature Kallmann syndrome
Mental retardation
Obesity