Thursday, 7 November 2013

Hypomenorrhea part - 2

Investigations:
General physical examination to access the built, hemoglobin levels, thyroid status, BMI etc.
Local examination to detect any abnormality in sexual development.

Blood investigations to know:
The hemoglobin levels
Thyroid profile
Hormonal profile including estrogen, progesterone, LH and FSH
Prolactin levels estimation
Blood sugar levels.

Ultrasound helps in finding out causes of scanty flow like poly cystic ovary disease, uterine abnormalities etc.

In some cases hysteroscopy is needed to access the endometrial lining, to rule out structural abnormalities etc.

Treatment:
Cause to be treated.
-In case of anemia and nutritional deficiency, supplementation of the nutrients is needed.
-Hormonal imbalance can be corrected by using hormonal pills for few months.
-Thyroid abnormalities can be corrected by related drugs. In case of presence of goiter etc surgical treatment may needed sometimes.
-In case of prolactin level abnormalities the cause to be find out. Micro and macro adenomas leading to increased prolactin levels, sometimes can get corrected with medicines and sometimes needs surgical interventions depending on the size and symptoms.
-Structural abnormalities of the uterus may need surgical procedure.
-Hereditary hypomenorrhea is difficult treat . If the woman is not having any problem with her fertility because of this, no need to worry about it.

No comments:

Post a Comment