A case of secondary amenorrhoea

doi:10.1136/bmj.b2282

Published 24 June 2009, doi:10.1136/bmj.b2282
Cite this as: BMJ 2009;338:b2282

Endgames

Case report

A case of secondary amenorrhoea

J Cheung, foundation year 1 doctor¹, R Shaw, consultant obstetrician and gynaecologist¹

¹ Derby City General Hospital, Derby DE22 3NE

R Shaw robert.shaw@nottingham.ac.uk

The first 150 words of the full text of this article appear below.

A 28 year old woman was referred by her general practitionerwith secondary amenorrhoea. She had had an uneventful pregnancywith the normal delivery of a baby girl 18 months previously.She was readmitted to hospital shortly after delivery becauseof postpartum haemorrhage and underwent evacuation of retainedproducts of conception. The patient was taking the progesteroneonly contraceptive pill after delivery, but treatment was stoppedafter 10 months because of an absence of any menstruation. Sincediscontinuing oral contraception, she had not menstruated fora further 9 months. Otherwise, she had no relevant medical historyand no family or drug history. Her menstrual cycle was normalbefore pregnancy and her body mass index was 22.5. Examinationshowed no evidence of galactorrhoea or abdominal mass. The vaginaand cervix were normal on speculum examination. On palpation,the uterus was of normal size and anteverted, with no adnexalmasses. These findings . . . [Full text of this article]