17-ketosteroids and Uterine-Hemorrhage

Topics: 17-Ketosteroids; Adolescent; Adrenal Cortex; Adrenal Glands; Adult; Body Temperature; Child; Female; Humans; Puberty; Uterine Hemorrhage

This is a complete outlined summary of menstrual disorders of puberty. First diagnostic procedures are suggested, such as history, evaluation of degree of pubertal development, and gynecologic, neurologic, and psychiatric exam, with temperature curve, vaginal smear, basal and stimulated hormone tests, and chromosome studies as required. Common but probably not pathologic complaints include dysmenorrhea (rule out ovarian cyst, endometriosis, congenital malformation); menstrual irregularity (rule out Stein-Levinthal syndrome); menometrorrhagia (rule out Willebrand's syndrome and vaginal or uterine tumor). Primary amenorrhea, if not simply late development, could be due to ovarian dysgenesis, Turner's syndrome, sellar tumor, olfactory-genital syndrome, testicular feminization syndrome, or malformation of the vagina or uterus. Amenorrhea with virilization may be of adrenal or ovarian origin, distinguished by whether urinary ketosteroids are elevated after adrenal inhibition or after ovarian stimulation. Secondary amenorrhea may possibly be related to hypothyroidism, adrenal androgens, pregnancy, or psychogenic causes. If urinary gonadotropins are high, ovarian tumor, primitive ovarian insufficiency, or gonadal dysgenesis may be suspected; of if gonadotropins are low, primitive hypothalamic syndrome, tumor, or iatrogenic causes may be considered as causes of secondary amenorrhea.

Topics: 17-Ketosteroids; Adolescent; Disorders of Sex Development; Estrogens; Female; Follicle Stimulating Hormone; Gonadotropins, Pituitary; Humans; Menstruation Disturbances; Pregnanediol; Puberty; Sex Characteristics; Uterine Hemorrhage; Vaginal Smears

Topics: 17-Ketosteroids; Blood Coagulation Tests; Estrogens; Female; Fibrinolysis; Humans; Leiomyoma; Pregnanediol; Uterine Hemorrhage; Uterine Neoplasms

Topics: 17-Hydroxycorticosteroids; 17-Ketosteroids; Adrenal Hyperplasia, Congenital; Androgens; Diagnosis, Differential; Female; Humans; Hypertrophy; Leiomyoma; Middle Aged; Neoplasms, Multiple Primary; Ovary; Uterine Hemorrhage; Uterine Neoplasms; Uterus

Topics: 17-Hydroxycorticosteroids; 17-Ketosteroids; Adrenocorticotropic Hormone; Adult; Body Weight; Estriol; Female; Humans; Hyperemesis Gravidarum; Kidney Failure, Chronic; Maternal-Fetal Exchange; Metyrapone; Obstetric Labor, Premature; Pituitary-Adrenal System; Placenta Previa; Pre-Eclampsia; Pregnancy; Pregnancy Complications; Pregnancy Complications, Cardiovascular; Pregnancy in Diabetics; Pregnanediol; Pregnanetriol; Rupture; Thrombosis; Uterine Hemorrhage

Topics: 17-Ketosteroids; Adult; Climacteric; Female; Humans; Middle Aged; Testosterone; Uterine Hemorrhage

Topics: 17-Hydroxycorticosteroids; 17-Ketosteroids; Dysmenorrhea; Female; Humans; Menorrhagia; Mestranol; Norethindrone; Ovarian Diseases; Ovulation; Pregnanediol; Premenstrual Syndrome; Uterine Hemorrhage

Topics: 17-Ketosteroids; Adult; Amenorrhea; Dydrogesterone; Estradiol; Estriol; Estrone; Female; Humans; Infertility, Female; Luteinizing Hormone; Menstruation Disturbances; Ovulation; Pregnanediol; Uterine Hemorrhage

Topics: 17-Hydroxycorticosteroids; 17-Ketosteroids; Adolescent; Adrenal Glands; Adult; Female; Humans; Middle Aged; Uterine Hemorrhage; Water-Electrolyte Balance

Topics: 17-Hydroxycorticosteroids; 17-Ketosteroids; Androgens; Chemistry, Clinical; Estrogens; Female; Glucosephosphate Dehydrogenase; Gonadotropins; Histocytochemistry; Humans; Hydroxybutyrate Dehydrogenase; Hydroxysteroid Dehydrogenases; L-Lactate Dehydrogenase; Menopause; Middle Aged; Ovary; Oxidoreductases; Pregnanediol; Spectrophotometry; Uterine Hemorrhage; Vaginal Smears

Topics: 17-Ketosteroids; Adrenal Glands; Adult; Androgens; Chromatography; Cysts; Endometrial Hyperplasia; Estradiol; Estriol; Estrogens; Estrone; Female; Humans; Ovarian Diseases; Secretory Rate; Testosterone; Uterine Hemorrhage

Topics: 17-Ketosteroids; Adrenal Cortex Hormones; Amenorrhea; Chemical Phenomena; Chemistry; Chromatography; Diencephalon; Estrogens; Female; Gonadotropins; Gonadotropins, Pituitary; Hexestrol; Humans; Hypopituitarism; Klinefelter Syndrome; Menstruation; Ovary; Pharmacology; Physiology; Pituitary Gland; Pituitary Neoplasms; Pregnanediol; Turner Syndrome; Urine; Uterine Hemorrhage

Topics: 17-Ketosteroids; Androgens; Endometriosis; Estradiol Congeners; Estrogens; Female; Humans; Liver Diseases; Myoma; Uterine Hemorrhage; Uterine Neoplasms

Topics: 17-Ketosteroids; Adenofibroma; Breast Neoplasms; Estrogens; Female; Gonadotropins; Humans; Ovary; Uterine Hemorrhage

Topics: 17-Ketosteroids; Contraceptive Agents, Female; Estradiol Congeners; Estrogens; Female; Gonadotropins; Humans; Pregnanediol; Uterine Hemorrhage

Topics: 17-Ketosteroids; Adrenal Cortex; Body Fluids; Female; Humans; Hydrogen-Ion Concentration; Menorrhagia; Metrorrhagia; Uterine Hemorrhage