Causes of primary amenorrhoea – Gynaecology MCQ

Causes of primary amenorrhoea are all except

A. Turner syndrome
B. Sheehan’s syndrome
C. MRKH syndrome
D. Kallmann syndrome

Correct answer : B. Sheehan’s syndrome

Sheehan’s syndrome results in secondary amenorrhoea.

Causes of primary amenorrhoea

  • Turner syndrome (45 XO)
  • Swyer syndrome (46 XY, streak gonads, female phenotype)
  • Testicular feminisation syndrome (46 XY, insensitivity to androgen, female phenotype)
  • Mullerian agenesis ( Mayer Rokitansky Kuster Hauser [MRKH] syndrome)
  • Cryptomenorrhea – Imperforate hymen / vaginal septum
  • Kallmann syndrome (Hypogonadotropic hypogonadism with hyposmia / anosmia)
  • Pituitary neoplasms

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