OB 204 - OB Final Exam Study Guide.

OB 204 - OB Final Exam Study Guide/OB 204 - OB Final Exam Study Guide. Chapters 4,5,6 1°Amenorrhea this in absence of menstruation by age 14 and absence of development of secondary sexual characteristics. Absence of menses by age 16 with development of sexual characteristic 2° amenorrhea Absence of menstruation regular for three cycle or a regular menstruation for six months in woman who previously had regular cycle Determine cause and treatment 1° amenorrhea correction of underlying disorder plus estrogen replacement to stimulate development of secondary sexual characteristics. If it’s pituitary tumor is the cause drug therapy surgical resection or radiation therapy. 2°amenorrhea oral contraceptive , Bromocriptine in hyperprolactinemia Nutritional counseling - anorexia, bulemia, obesity. GNRH if cause is hypothalamic failure, thyroid hormone replacement when cause is hypothyroidism.