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Reproductive Physiology, Endocrinology, and Infertility

Question
46 out of 56
 

A patient had a spontaneous abortion, then she came with amenorrhea and FSH 6miu/ml what the most probably diagnosis? (AIPG 2010)



A Ovarian failure
B Synechia

C Pregnancy
D Pituitary failure

Ans. B

Synechia

1. This is a case of secondary amenorrhea with normal FSH values.

2. In cases of ovarian failure & menopause the FSH very high

3. In pituitary failure the FSH will be very low.

4. In pregnancy, FSH is suppressed due to high levels of prolactin

5. Normal FSH & amenorrhea point towards uterine pathology. The patient had a spontaneous abortion following which a curettage is generally required which would be responsible for intrauterine adhesions.

6. High FSH levels are seen in:

a. Premature Ovarian Failure b. Gonadal dysgenesis c. Menopause

Reproductive Physiology, Endocrinology, and Infertility Flashcard List

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