Amenorrea post-gestación

E. Acosta Cajiao, A. Millet Part, J. Ferrer Barriendos, A. Blanes Espi.

Resumen


Un porcentaje relativamente alto de amenorreas secundarias (11%) puede ser posterior a una gestación.

Toda amenorrea consecutiva a una gestación, de más de 6 meses de duración, es patológica y requiere una valoración exhaustiva y un tratamiento etiológico adecuado. La anamnesis es fundamental en este estudio, pero no debe basarse solamente en ella el diagnóstico, pues solamente en un porcentaje pequeño de pacientes (27.2%) que presentaron hemorragia o shock durante el parto y cambios ponderales puerperales, la causa de la amenorrea fue el Síndrome de Sheehan. No debe olvidarse tampoco la importancia que la amenorrea hipotalámica, la hiperprolactinemia y la menopausia precoz tienen como etiologías de esta amenorrea; y el papel preponderante que las determinaciones hormona les juegan en su diagnóstico. Por lo tanto, el estudio racional de las amenorreas post-gestación será hecho con la combinación juiciosa de la Historia Clínica, el examen físico y el estudio endocrinológico.


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Referencias


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