Reproductive health/Oligomenorrhea

Oligomenorrhoea is defined as infrequent menstruation characterized by a cycle length between 6 weeks and 6 months.

Differential Diagnosis

Ovarian disorders

• Resistant Ovary Syndrome
• Premature Ovarian Failure
• Polycystic Ovarian Syndrome
• Turner's Syndrome

Cervical disorders

• Cervical stenosis

Hypothalamic disorders

• Kallmann's Syndrome

Pituitary disorders

• Prolactin Secreting Adenomas
• Craniopharyngiomas
• Disorders of thyroid function

Diagnosis

The diagnosis of oligomenorrhoea is made using the following clinical skills:

• Gynecological History Taking
• Gynecological Examination
• Gynecological Investigations

References

O'Connor, J. Pathology 2nd ed. Mosby. Edinburgh. 2002.

McCarthy, A & Hunter, B (2003) Master Medicine: Obstetrics and Gynaecology (2nd ed.) Philadelphia: Elsevier Saunder

www.gpnotebook.co.uk