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Erschienen in: Gynäkologie in der Praxis 1/2024

07.02.2024 | Originalien

Assessment of Cytogenetic Findings and Risk Factors in Females with Primary Amenorrhea

verfasst von: Priyanka Sanghavi, Divya Chandel

Erschienen in: Gynäkologie in der Praxis | Ausgabe 1/2024

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Abstract

Primary amenorrhea (PA) is a heterogenous condition with multifactorial etiologies and cannot be established with single diagnostic criterion. We have attempted to assess several factors and found significant association of body mass index, birth history, lifestyle factors like addiction habits, maternal history of proband; family history of consanguinity, amenorrhea and menstrual cycle; serum levels of follicle-stimulating hormone (FSH), luteinizing hormone (LH), thyroid-stimulating hormone (TSH), prolactin, estrogen, progesterone and testosterone with PA when compared with age-matched control females. Chromosomal abnormalities like Turner syndrome, presence of Y chromosome, Turner mosaics, Xp deletion, isochromosome X, and normal variants in PA females were observed. Chromosomal abnormalities were significantly associated with development of secondary sexual characters (SSCs) and ovaries in PA females. This study will help clinicians to understand the exact etiology and identify the best treatment option to improve of life of female patients and their families.
Literatur
1.
Zurück zum Zitat Basak S, Prakash A (2013) Investigation and treatment of primary amenorrhoea. Obstet Gynaecol Reproductive Med 23(12):364–369CrossRef Basak S, Prakash A (2013) Investigation and treatment of primary amenorrhoea. Obstet Gynaecol Reproductive Med 23(12):364–369CrossRef
2.
Zurück zum Zitat Rajangam S, Nanjappa L (2007) Cytogenetic studies in amenorrhea. SMJ 28(2):187 Rajangam S, Nanjappa L (2007) Cytogenetic studies in amenorrhea. SMJ 28(2):187
3.
Zurück zum Zitat Lobo RA (2007) Primary and secondary amenorrhea and precocious puberty: etiology, diagnostic evaluation, management. Comprehensive gynecology, 5th edn. Mosby, St Louis, MO Lobo RA (2007) Primary and secondary amenorrhea and precocious puberty: etiology, diagnostic evaluation, management. Comprehensive gynecology, 5th edn. Mosby, St Louis, MO
5.
Zurück zum Zitat Wasnik V, Rao S, Rao D (2012) A study of the health status of early adolescent girls residing in social welfare hostels in Vizianagaram district of Andhra Pradesh state, India. Int J Collab Res Intern Med Public Health 4(1):72–83 Wasnik V, Rao S, Rao D (2012) A study of the health status of early adolescent girls residing in social welfare hostels in Vizianagaram district of Andhra Pradesh state, India. Int J Collab Res Intern Med Public Health 4(1):72–83
6.
Zurück zum Zitat Dharmade PN, Kale DMP (2017) Effect of nutrition education on anthropometric measurements of adolescent girls Dharmade PN, Kale DMP (2017) Effect of nutrition education on anthropometric measurements of adolescent girls
7.
Zurück zum Zitat Metgud CS, Naik VA, Mallapur MD (2012) Factors affecting birth weight of a newborn—a community based study in rural Karnataka, India. PLoS ONE 7(7):e40040ADSPubMedPubMedCentralCrossRef Metgud CS, Naik VA, Mallapur MD (2012) Factors affecting birth weight of a newborn—a community based study in rural Karnataka, India. PLoS ONE 7(7):e40040ADSPubMedPubMedCentralCrossRef
8.
Zurück zum Zitat Rathod P, Patel T, Desai A, Chandel D (2020) Socioeconomic, biological and genetic factors influencing preterm birth. Asian Pac J Reproduction 9(5):215CrossRef Rathod P, Patel T, Desai A, Chandel D (2020) Socioeconomic, biological and genetic factors influencing preterm birth. Asian Pac J Reproduction 9(5):215CrossRef
9.
Zurück zum Zitat Hungerford DA (1965) Leukocytes cultured from small inocula of whole blood and the preparation of metaphase chromosomes by treatment with hypotonic KCl. Stain Technol 40(6):333–338PubMedCrossRef Hungerford DA (1965) Leukocytes cultured from small inocula of whole blood and the preparation of metaphase chromosomes by treatment with hypotonic KCl. Stain Technol 40(6):333–338PubMedCrossRef
10.
11.
Zurück zum Zitat Golden NH, Carlson JL (2008) The pathophysiology of amenorrhea in the adolescent. Ann NY Acad Sci 1135(1):163–178ADSPubMedCrossRef Golden NH, Carlson JL (2008) The pathophysiology of amenorrhea in the adolescent. Ann NY Acad Sci 1135(1):163–178ADSPubMedCrossRef
12.
Zurück zum Zitat Dambhare DG, Wagh SV, Dudhe JY (2012) Age at menarche and menstrual cycle pattern among school adolescent girls in central India. Glob J Health Sci 4(1):105–111PubMedPubMedCentral Dambhare DG, Wagh SV, Dudhe JY (2012) Age at menarche and menstrual cycle pattern among school adolescent girls in central India. Glob J Health Sci 4(1):105–111PubMedPubMedCentral
13.
Zurück zum Zitat Koziel S, Jankowska E (2002) Effect of low versus normal birthweight on menarche in 14-year-old Polish girls. J Paediatrics Child Health 38(3):268–271CrossRef Koziel S, Jankowska E (2002) Effect of low versus normal birthweight on menarche in 14-year-old Polish girls. J Paediatrics Child Health 38(3):268–271CrossRef
14.
Zurück zum Zitat Sir-Petermann T, Hitchsfeld C, Codner E, Maliqueo Μ, Iñiguez G, Echiburú B et al (2007) Gonadal function in low birth weight infants: a pilot study. J Pediatr Endocrinol Metab 20(3):405–414PubMedCrossRef Sir-Petermann T, Hitchsfeld C, Codner E, Maliqueo Μ, Iñiguez G, Echiburú B et al (2007) Gonadal function in low birth weight infants: a pilot study. J Pediatr Endocrinol Metab 20(3):405–414PubMedCrossRef
15.
Zurück zum Zitat Hui LL, Lam HS, Leung GM, Schooling CM (2017) Duration of puberty in preterm girls. American J Hum Biol 29(4):e22963CrossRef Hui LL, Lam HS, Leung GM, Schooling CM (2017) Duration of puberty in preterm girls. American J Hum Biol 29(4):e22963CrossRef
16.
Zurück zum Zitat Hui LL, Leung GM, Lam TH, Schooling CM (2012) Premature birth and age at onset of puberty. Epidemiology 23(3):415–422PubMedCrossRef Hui LL, Leung GM, Lam TH, Schooling CM (2012) Premature birth and age at onset of puberty. Epidemiology 23(3):415–422PubMedCrossRef
17.
Zurück zum Zitat Ibáñez L, Potau N, de Zegher F (2000) Ovarian hyporesponsiveness to follicle stimulating hormone in adolescent girls born small for gestational age. J Clin Endocrinol Metab 85(7):2624–2626PubMedCrossRef Ibáñez L, Potau N, de Zegher F (2000) Ovarian hyporesponsiveness to follicle stimulating hormone in adolescent girls born small for gestational age. J Clin Endocrinol Metab 85(7):2624–2626PubMedCrossRef
18.
Zurück zum Zitat Ibáñez L, Potau N, Enriquez G, De Zegher F (2000) Reduced uterine and ovarian size in adolescent girls born small for gestational age. Pediatr Res 47(5):575–577PubMedCrossRef Ibáñez L, Potau N, Enriquez G, De Zegher F (2000) Reduced uterine and ovarian size in adolescent girls born small for gestational age. Pediatr Res 47(5):575–577PubMedCrossRef
19.
Zurück zum Zitat Kedar R, Chandel D (2019) MTHFR gene polymorphism and associated nutritional deficiency in the etiology and pathogenesis of down syndrome. Egypt J Med Hum Genet 20(1):1–10CrossRef Kedar R, Chandel D (2019) MTHFR gene polymorphism and associated nutritional deficiency in the etiology and pathogenesis of down syndrome. Egypt J Med Hum Genet 20(1):1–10CrossRef
20.
Zurück zum Zitat Rathod P, Desai A, Chandel D (2022) Evaluation of risk factors for preterm birth outcome in Gujarat, India. Int J Health Sci Res 12(1):161–174CrossRef Rathod P, Desai A, Chandel D (2022) Evaluation of risk factors for preterm birth outcome in Gujarat, India. Int J Health Sci Res 12(1):161–174CrossRef
21.
Zurück zum Zitat Smits LJ, Zielhuis GA, Jongbloet PH, Van Poppel FW (2002) Mother’s age and daughter’s fecundity. An epidemiological analysis of late 19th to early 20th century family reconstitutions. Int J Epidemiol 31(2):349–358PubMedCrossRef Smits LJ, Zielhuis GA, Jongbloet PH, Van Poppel FW (2002) Mother’s age and daughter’s fecundity. An epidemiological analysis of late 19th to early 20th century family reconstitutions. Int J Epidemiol 31(2):349–358PubMedCrossRef
22.
Zurück zum Zitat Sumida MF, Becker D, Chung J, Martinez E, Templeman C (2021) Characterizing primary amenorrhea in a large diverse cohort. Fertil Steril 116(3):e98CrossRef Sumida MF, Becker D, Chung J, Martinez E, Templeman C (2021) Characterizing primary amenorrhea in a large diverse cohort. Fertil Steril 116(3):e98CrossRef
23.
Zurück zum Zitat Evans JJ, Anderson GM (2012) Balancing ovulation and anovulation: integration of the reproductive and energy balance axes by neuropeptides. Hum Reprod Update 18(3):313–332PubMedCrossRef Evans JJ, Anderson GM (2012) Balancing ovulation and anovulation: integration of the reproductive and energy balance axes by neuropeptides. Hum Reprod Update 18(3):313–332PubMedCrossRef
24.
Zurück zum Zitat Seppä S, Kuiri-Hänninen T, Holopainen E, Voutilainen R (2021) Management of endocrine disease: diagnosis and management of primary amenorrhea and female delayed puberty. Eur J Endocrinol 184(6):R225–R242PubMedCrossRef Seppä S, Kuiri-Hänninen T, Holopainen E, Voutilainen R (2021) Management of endocrine disease: diagnosis and management of primary amenorrhea and female delayed puberty. Eur J Endocrinol 184(6):R225–R242PubMedCrossRef
25.
Zurück zum Zitat Master-Hunter T, Heiman DL (2006) Amenorrhea: evaluation and treatment. Am Fam Physician 73(8):1374–1382PubMed Master-Hunter T, Heiman DL (2006) Amenorrhea: evaluation and treatment. Am Fam Physician 73(8):1374–1382PubMed
26.
Zurück zum Zitat Panay N, Kalu E (2009) Management of premature ovarian failure. Best Pract Res Clin Obstet Gynaecol 23(1):129–140PubMedCrossRef Panay N, Kalu E (2009) Management of premature ovarian failure. Best Pract Res Clin Obstet Gynaecol 23(1):129–140PubMedCrossRef
27.
Zurück zum Zitat Kokcu A (2010) Premature ovarian failure from current perspective. Gynecol Endocrinol 26(8):555–562PubMedCrossRef Kokcu A (2010) Premature ovarian failure from current perspective. Gynecol Endocrinol 26(8):555–562PubMedCrossRef
28.
29.
Zurück zum Zitat Wang H, Chen H, Qin Y, Shi Z, Zhao X, Xu J et al (2015) Risks associated with premature ovarian failure in Han Chinese women. Reprod Biomed 30(4):401–407CrossRef Wang H, Chen H, Qin Y, Shi Z, Zhao X, Xu J et al (2015) Risks associated with premature ovarian failure in Han Chinese women. Reprod Biomed 30(4):401–407CrossRef
30.
Zurück zum Zitat Hayden CJ, Balen AH (2007) Primary amenorrhoea: investigation and treatment. Obstet Gynaecol Reprod Med 17(7):199–204CrossRef Hayden CJ, Balen AH (2007) Primary amenorrhoea: investigation and treatment. Obstet Gynaecol Reprod Med 17(7):199–204CrossRef
31.
Zurück zum Zitat Eggert J, Theobald H, Engfeldt P (2004) Effects of alcohol consumption on female fertility during an 18-year period. Fertil Steril 81(2):379–383PubMedCrossRef Eggert J, Theobald H, Engfeldt P (2004) Effects of alcohol consumption on female fertility during an 18-year period. Fertil Steril 81(2):379–383PubMedCrossRef
32.
Zurück zum Zitat Homan GF, Davies M, Norman R (2007) The impact of lifestyle factors on reproductive performance in the general population and those undergoing infertility treatment: a review. Hum Reprod Update 13(3):209–223PubMedCrossRef Homan GF, Davies M, Norman R (2007) The impact of lifestyle factors on reproductive performance in the general population and those undergoing infertility treatment: a review. Hum Reprod Update 13(3):209–223PubMedCrossRef
33.
Zurück zum Zitat Sanghavi P, Savsaiya B, Patel H, Patel K, Chandel D (2022) Factors affecting female infertility in the population of Gujarat (India): a comprehensive study. J Gynäkol Endokrinol AT: 1–8 Sanghavi P, Savsaiya B, Patel H, Patel K, Chandel D (2022) Factors affecting female infertility in the population of Gujarat (India): a comprehensive study. J Gynäkol Endokrinol AT: 1–8
34.
Zurück zum Zitat Anitha G, Tejeswini K, Shivamurthy G (2015) A clinical study of primary amenorrhea. J South asian Fed Obstet Gynaecol 7(3):158–166CrossRef Anitha G, Tejeswini K, Shivamurthy G (2015) A clinical study of primary amenorrhea. J South asian Fed Obstet Gynaecol 7(3):158–166CrossRef
35.
Zurück zum Zitat Overton CE, Davies MC (1999) Factors which determine the age of the menopause. Br Menopause Soc J 5(2):83–86CrossRef Overton CE, Davies MC (1999) Factors which determine the age of the menopause. Br Menopause Soc J 5(2):83–86CrossRef
36.
Zurück zum Zitat Torgerson DJ, Thomas RE, Reid DM (1997) Mothers and daughters menopausal ages: is there a link? Eur J Obstet Gynecol Reproductive Biol 74(1):63–66CrossRef Torgerson DJ, Thomas RE, Reid DM (1997) Mothers and daughters menopausal ages: is there a link? Eur J Obstet Gynecol Reproductive Biol 74(1):63–66CrossRef
37.
Zurück zum Zitat Khan AT, Shehmar M, Gupta JK (2014) Uterine fibroids: current perspectives. Int J Women’s Health: 95–114 Khan AT, Shehmar M, Gupta JK (2014) Uterine fibroids: current perspectives. Int J Women’s Health: 95–114
38.
Zurück zum Zitat Majumder P, Ghosh S, Dey S (2015) Association between primary amenorrhea and early maternal age: a population study. Indian J Sci Technol Majumder P, Ghosh S, Dey S (2015) Association between primary amenorrhea and early maternal age: a population study. Indian J Sci Technol
39.
Zurück zum Zitat Prakash R, Singh A, Pathak PK, Parasuraman S (2011) Early marriage, poor reproductive health status of mother and child well-being in India. BMJ Sex Reprod Heal 37(3):136–145 Prakash R, Singh A, Pathak PK, Parasuraman S (2011) Early marriage, poor reproductive health status of mother and child well-being in India. BMJ Sex Reprod Heal 37(3):136–145
40.
Zurück zum Zitat Thomsen AML, Ramlau-Hansen CH, Olsen J, Brix N, Andersen AMN, Lunddorf LLH et al (2022) The influence of parental age on timing of puberty: a study in the Danish national birth cohort. Scand J Public Health 50(5):629–637PubMedCrossRef Thomsen AML, Ramlau-Hansen CH, Olsen J, Brix N, Andersen AMN, Lunddorf LLH et al (2022) The influence of parental age on timing of puberty: a study in the Danish national birth cohort. Scand J Public Health 50(5):629–637PubMedCrossRef
41.
Zurück zum Zitat Smits LJ, Willemsen WNP, Zielhuis GA, Jongbloet PH (1997) Conditions at conception and risk of menstrual disorders. Epidemiology 8(5):524–529PubMedCrossRef Smits LJ, Willemsen WNP, Zielhuis GA, Jongbloet PH (1997) Conditions at conception and risk of menstrual disorders. Epidemiology 8(5):524–529PubMedCrossRef
42.
Zurück zum Zitat Vander Borght M, Wyns C (2018) Fertility and infertility: definition and epidemiology. Clin Biochem 62:2–10PubMedCrossRef Vander Borght M, Wyns C (2018) Fertility and infertility: definition and epidemiology. Clin Biochem 62:2–10PubMedCrossRef
43.
Zurück zum Zitat Amudha S, Aruna N, Rajangam S (2005) Consanguinity and chromosomal abnormality. Indian J Hum Genet 11(2):8–110 Amudha S, Aruna N, Rajangam S (2005) Consanguinity and chromosomal abnormality. Indian J Hum Genet 11(2):8–110
44.
Zurück zum Zitat Kalpana VL, Priya BD, Pathi TL, Sridevi S, Ramesh M (2007) A study on primary amenorrhea. Ind J Multi Res 3(2):209–222 Kalpana VL, Priya BD, Pathi TL, Sridevi S, Ramesh M (2007) A study on primary amenorrhea. Ind J Multi Res 3(2):209–222
45.
Zurück zum Zitat Seher T, Thiering E, Al Azemi M, Heinrich J, Schmidt-Weber CB, Kivlahan C et al (2015) Is parental consanguinity associated with reduced ovarian reserve? Reprod Biomed Online 31(3):427–433PubMedCrossRef Seher T, Thiering E, Al Azemi M, Heinrich J, Schmidt-Weber CB, Kivlahan C et al (2015) Is parental consanguinity associated with reduced ovarian reserve? Reprod Biomed Online 31(3):427–433PubMedCrossRef
46.
Zurück zum Zitat Pal A, Ambulkar P, Sontakke B, Talhar S, Bokariya P, Gujar V (2019) A study on chromosomal analysis of patients with primary amenorrhea. J Hum Reprod Sci 12(1):29PubMedPubMedCentralCrossRef Pal A, Ambulkar P, Sontakke B, Talhar S, Bokariya P, Gujar V (2019) A study on chromosomal analysis of patients with primary amenorrhea. J Hum Reprod Sci 12(1):29PubMedPubMedCentralCrossRef
47.
Zurück zum Zitat Herlin M, Højland AT, Petersen MB (2014) Familial occurrence of Mayer–Rokitansky–Küster–Hauser syndrome: a case report and review of the literature. Am J Med Genet A 164(9):2276–2286CrossRef Herlin M, Højland AT, Petersen MB (2014) Familial occurrence of Mayer–Rokitansky–Küster–Hauser syndrome: a case report and review of the literature. Am J Med Genet A 164(9):2276–2286CrossRef
48.
Zurück zum Zitat Gervasini C, Grati FR, Lalatta F, Tabano S, Gentilin B, Colapietro P et al (2010) SHOX duplications found in some cases with type I Mayer-Rokitansky-Kuster-Hauser syndrome. Genet Med 12(10):634–640PubMedCrossRef Gervasini C, Grati FR, Lalatta F, Tabano S, Gentilin B, Colapietro P et al (2010) SHOX duplications found in some cases with type I Mayer-Rokitansky-Kuster-Hauser syndrome. Genet Med 12(10):634–640PubMedCrossRef
49.
Zurück zum Zitat KC ST, Cunjian Y (2017) Mayer rokitansky kuster hauser syndrome—a review article. IJSIT 6(5):553–561 KC ST, Cunjian Y (2017) Mayer rokitansky kuster hauser syndrome—a review article. IJSIT 6(5):553–561
50.
Zurück zum Zitat Malla TM, Dar FA, Pandith AA, Zargar MH (2016) Frequency and pattern of cytogenetic alterations in primary amenorrhea cases of Kashmir, North India. Egypt J Med Hum Genet 17(1):25–31CrossRef Malla TM, Dar FA, Pandith AA, Zargar MH (2016) Frequency and pattern of cytogenetic alterations in primary amenorrhea cases of Kashmir, North India. Egypt J Med Hum Genet 17(1):25–31CrossRef
51.
Zurück zum Zitat Vijayalakshmi J, Koshy T, Kaur H, Mary FA, Selvi R, Parvathi VD et al (2010) Cytogenetic analysis of patients with primary amenorrhea. Int J Hum Genet 10(1–3):71–76CrossRef Vijayalakshmi J, Koshy T, Kaur H, Mary FA, Selvi R, Parvathi VD et al (2010) Cytogenetic analysis of patients with primary amenorrhea. Int J Hum Genet 10(1–3):71–76CrossRef
52.
Zurück zum Zitat Wong M, Lam S (2005) Cytogenetic analysis of patients with primary and secondary amenorrhoea in Hong Kong: retrospective study. Hong Kong Med J 11:267–272PubMed Wong M, Lam S (2005) Cytogenetic analysis of patients with primary and secondary amenorrhoea in Hong Kong: retrospective study. Hong Kong Med J 11:267–272PubMed
53.
Zurück zum Zitat Multani AS, Shah VC, Singh D, Chakravarty N, Chinoy NJ, Pathak S (1997) Deletion/inversion in the X‑chromosome and increased telomeric associations in a female with primary amenorrhea. Braz J Genet 20(3):511–516CrossRef Multani AS, Shah VC, Singh D, Chakravarty N, Chinoy NJ, Pathak S (1997) Deletion/inversion in the X‑chromosome and increased telomeric associations in a female with primary amenorrhea. Braz J Genet 20(3):511–516CrossRef
54.
Zurück zum Zitat Korgaonkar S, Dhangar S, Kulkarni V, Kerketta L, Vundinti BR (2018) Clinical and cytogenetic profile of 490 cases of primary amenorrhea. J Med Sci Clin Res 6:487–494 Korgaonkar S, Dhangar S, Kulkarni V, Kerketta L, Vundinti BR (2018) Clinical and cytogenetic profile of 490 cases of primary amenorrhea. J Med Sci Clin Res 6:487–494
55.
Zurück zum Zitat Sultan C, Biason-Lauber A, Philibert P (2009) Mayer–Rokitansky–Kuster–Hauser syndrome: recent clinical and genetic findings. Gynecol Endocrinol 25(1):8–11PubMedCrossRef Sultan C, Biason-Lauber A, Philibert P (2009) Mayer–Rokitansky–Kuster–Hauser syndrome: recent clinical and genetic findings. Gynecol Endocrinol 25(1):8–11PubMedCrossRef
56.
Zurück zum Zitat Mayuri J, Vasudha N, Vijay G, Asha PJP (2014) Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome: a case report. J Res Med Den Sci 2(1):106CrossRef Mayuri J, Vasudha N, Vijay G, Asha PJP (2014) Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome: a case report. J Res Med Den Sci 2(1):106CrossRef
57.
Zurück zum Zitat Cordts EB, Christofolini DM, Dos SAA, Bianco B, Barbosa CP (2011) Genetic aspects of premature ovarian failure: a literature review. Arch Gynecol Obstet 283(3):635–643PubMedCrossRef Cordts EB, Christofolini DM, Dos SAA, Bianco B, Barbosa CP (2011) Genetic aspects of premature ovarian failure: a literature review. Arch Gynecol Obstet 283(3):635–643PubMedCrossRef
58.
Zurück zum Zitat Turner HH (1938) A syndrome of infantilism, congenital webbed neck, and cubitus valgus. Endocrinology 23(5):566–574CrossRef Turner HH (1938) A syndrome of infantilism, congenital webbed neck, and cubitus valgus. Endocrinology 23(5):566–574CrossRef
59.
Zurück zum Zitat Fazeli P, Nachtigall LB (2010) Hyperprolactinemia and pituitary causes of amenorrhea. Springer, Amenorrhea, pp 83–100 Fazeli P, Nachtigall LB (2010) Hyperprolactinemia and pituitary causes of amenorrhea. Springer, Amenorrhea, pp 83–100
60.
Zurück zum Zitat Kallepalli P, Kallepalli D (2019) A study of primary amenorrhea cases in north coastal Andhra Pradesh. Ment Retard 2:3–44 Kallepalli P, Kallepalli D (2019) A study of primary amenorrhea cases in north coastal Andhra Pradesh. Ment Retard 2:3–44
61.
Zurück zum Zitat Practice Committee of the American Society for Reproductive Medicine (2006) Current evaluation of amenorrhea. Fertil Steril 86(5):S148–S155CrossRef Practice Committee of the American Society for Reproductive Medicine (2006) Current evaluation of amenorrhea. Fertil Steril 86(5):S148–S155CrossRef
62.
Zurück zum Zitat Marsh CA, Grimstad FW (2014) Primary amenorrhea: diagnosis and management. Obstet Gynecol Surv 69(10):603–612PubMedCrossRef Marsh CA, Grimstad FW (2014) Primary amenorrhea: diagnosis and management. Obstet Gynecol Surv 69(10):603–612PubMedCrossRef
63.
Zurück zum Zitat Gleicher N, Kushnir VA, Barad DH (2018) Impact of androgen supplementation on the follicular endocrine milieu in women with hypoandrogenism. Reprod Biomed Online 36(6):719–720PubMedCrossRef Gleicher N, Kushnir VA, Barad DH (2018) Impact of androgen supplementation on the follicular endocrine milieu in women with hypoandrogenism. Reprod Biomed Online 36(6):719–720PubMedCrossRef
Metadaten
Titel
Assessment of Cytogenetic Findings and Risk Factors in Females with Primary Amenorrhea
verfasst von
Priyanka Sanghavi
Divya Chandel
Publikationsdatum
07.02.2024
Verlag
Springer Vienna
Erschienen in
Gynäkologie in der Praxis / Ausgabe 1/2024
Print ISSN: 3005-0758
Elektronische ISSN: 3005-0766
DOI
https://doi.org/10.1007/s41974-024-00297-y

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