True/False MCQ · Amenorrhoea
Concerning causes of secondary amenorrhoea, which of the following statements are TRUE?
- AA prolactinoma can cause secondary amenorrhoea
- BAn imperforate hymen is a common cause of secondary amenorrhoea
- CExcessive exercise and weight loss can cause hypothalamic amenorrhoea
- DTurner syndrome typically presents as secondary amenorrhoea
- ESecondary amenorrhoea never has an ovarian cause
Show answers and explanation
- A. True
- B. False: An imperforate hymen causes primary amenorrhoea.
- C. True
- D. False: Turner syndrome typically presents as primary amenorrhoea.
- E. False: Secondary amenorrhoea can have an ovarian cause (e.g. PCOS, premature ovarian insufficiency).
Causes of secondary amenorrhoea
- Prolactinoma and hypothalamic (exercise/weight loss) are recognised causes; also PCOS, POI, Asherman, thyroid.
Why A is true
A prolactinoma can cause secondary amenorrhoea.
Why B is false
An imperforate hymen causes primary amenorrhoea.
Why C is true
Excessive exercise and weight loss can cause hypothalamic amenorrhoea.
Why D is false
Turner syndrome typically presents as primary amenorrhoea.
Why E is false
Secondary amenorrhoea can have an ovarian cause (e.g. PCOS, premature ovarian insufficiency).
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