tabrep93


TABLE 9-3. Some Common Causes of Secondary Amenorrhea.
Site of Defect Cause
Uterus Adhesions after postpartum inflection or surgery
Ovary
Autoimmune desease
Radio- or chemotherapy
Gonadotropin resistanse
    
Pituitary
Hyperprolactinemia 
Postpartum panhypopituitarism
Ptuitary tumors
Hypothalamus
Psychogenic(stress)
Starvation (anorexia nervosa)
Hypothalamic tumors
Extrinsic to hypothalamohypophyseal-ovarian axis
Steroid ingestion 
Post-pill aminorrhea 
Extraovarian estrogen (obesity)
Other endocrinopathies