How do I know if I have PCOS or amenorrhea?
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A patient with primary amenorrhea due to PCOS may have signs of hyperandrogenism (hirsutism, male pattern baldness, acne) and/or hyperandrogenemia (elevated serum testosterone). Patients with PCOS and primary amenorrhea may also be infertile and insulin resistant (central obesity, hypertension, acanthosis nigricans).
Does PCOS affect hypothalamus?
Hypothalamus–pituitary–ovary axis imbalance is considered as an important pathophysiology underlying PCOS, indicating that central modulation, especially the abnormal activation of hypothalamic GnRH neurons plays a vital role in PCOS development.
What does hypothalamic amenorrhea feel like?
The most common symptom of hypothalamic amenorrhea is missing a period, or extremely light bleeding during menstruation. Others include: Low libido. Feeling cold often.
How do I know if I have hypothalamic amenorrhea?
To confirm a hypothalamic amenorrhea your doctor may need to perform a GnRH stimulation test to check for hypothalamic amenorrhea. This is the most reliable test to check for this condition. Your doctor may also perform a chromosome evaluation to check for abnormalities.
Can PCOS cause hypothalamic amenorrhea?
Infrequent or absent periods are another possible sign of PCOS, as the body fails to ovulate regularly. In contrast, hypothalamic amenorrhoea occurs when the brain stops communicating with the ovaries, resulting in the absence of a regular menstrual cycle.
What is hypothalamic-pituitary-ovarian axis?
The hypothalamic-pituitary-ovarian (HPO) axis is a tightly regulated system controlling female reproduction. HPO axis dysfunction leading to ovulation disorders can be classified into three categories defined by the World Health Organization (WHO).
What organs are affected by PCOS?
PCOS is a diagnosis of exclusion and is a multiorgan disease affecting most endocrine organs including ovaries, adrenals, pituitary, fat cells, and endocrine pancreas. The manifestations of PCOS are diverse, and up to 50% patients are normal weight.
Can you have hypothalamic amenorrhea and PCOS?
Can I exercise with hypothalamic amenorrhea?
Keep exercise gentle. Yes it’s good for us but intense/extensive exercise is a form of “stress” on the body, and may be an obstacle to the return of your menstrual cycle. High intensity workouts or extensive cardio like long distance running can be especially demanding.
Is PCOS amenorrhea or hypothalamic?
How is amenorrhea treated in PCOS?
Medical Treatments for Secondary Amenorrhea
- Birth control pills or other types of hormonal medication. Certain oral contraceptives may help restart the menstrual cycle.
- Medications to help relieve the symptoms of PCOS.
- Estrogen replacement therapy (ERT).
Is Hypothalamic Amenorrhea the same as PCOS?
Hypothalamic amenorrhea (HA) is the loss of periods due to undereating. It can also present with mild acne, facial hair, and polycystic ovaries. The two conditions are similar enough that your doctor might mistakenly say you have PCOS when you actually have hypothalamic amenorrhea. Is it PCOS or hypothalamic amenorrhea?
What are the symptoms of hypothalamic amenorrhea?
There are many symptoms of hypothalamic amenorrhea. These are the most common: -Cystic acne (occasionally, especially when you simultaneously have PCOS) -Other symptoms of hypothyroidism, which often accompanies hypothalamic amenorrhea, such as brittle hair and nails These are problems that are a result of hypothalamic amenorrhea.
Can PCOS cause periods to be irregular?
It can also cause irregular periods. Hypothalamic amenorrhea (HA) is the loss of periods due to undereating. It can also present with mild acne, facial hair, and polycystic ovaries. The two conditions are similar enough that your doctor might mistakenly say you have PCOS when you actually have hypothalamic amenorrhea.
What is hypothalamic amenorrhea and how does it affect fertility?
And interestingly enough, hypothalamic amenorrhea is not confined to humans! Other primates also experience impaired fertility and lose their menstrual cycles due to hypothalamic dysfunction. There are many symptoms of hypothalamic amenorrhea. These are the most common: -Cystic acne (occasionally, especially when you simultaneously have PCOS)
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