Diagnosis of post pill amenorrhea the diagnosis of

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Diagnosis of Post-pill AmenorrheaThe diagnosis of post-pill amenorrhea is usually from the history of taking birth control pills alone.Ultrasonography will reveal ovaries with no signs ofdeveloping folliclesand ovulation even afterhaving stopped the pills for 6 months.Blood tests showing a low level of FSH, LH and estrogen is usually sufficient to confirm thediagnosis.Treatment of Post-pill AmenorrheaThe first line of treatment in case of post-pill amenorrhea is waiting for a spontaneous remission ofthe amenorrhea and a spontaneous occurance of periods.The time limit is usually six months. But if the woman is anxious to get her periods, activetreatment may be started after waiting for only three months.The standard treatment of post-pill amenorrhea is by stimulating the pituitary to produce FSH andLH. This is done by the drug clomiphene citrate.Clomiphene citrate is a drug which can block the estrogen receptors in theuterusand otherreproductive organs. This send a signal to the pituitary that there is no estrogen in the body. Thepituitary then starts to produce more and more FSH to cause growth of follicles in theovaries. Theenlarging folllicles produce estrogen which stimulates the inner lining of the uterus (endometrium)to grow. Shedding of this endometrium causesmenstruationor periods.Clomiphene needs to be taken for 3 months for regular periods to resume.Although,progesteroneis often prescribed in postpill amenorrhea, it is not effective in stimulatingthe development of follicles in the ovaries. Without follicular growth, ovulation does not occur andwithout ovulation, it is difficult to get regular periods, although anovular periods can occur fromtime to time.
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Term
Spring
Professor
salman sulaiman
Tags
Intracranial pressure, Combined oral contraceptive pill, Ovulation, Papilledema, post pill amenorrhea

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