±Ç¼ö°æ(Kwon Su-Kyoung) - University of Ulsan College of Medicine Asan Medical Center Department of Obstetrics and Gynecology
äÈñµ¿(Chae Hee-Dong) - University of Ulsan College of Medicine Asan Medical Center Department of Obstetrics and Gynecology
ÀÌ°æÈñ(Lee Kyung-Hee) - University of Ulsan College of Medicine Asan Medical Center Department of Obstetrics and Gynecology
±è¼ºÈÆ(Kim Sung-Hoon) - University of Ulsan College of Medicine Asan Medical Center Department of Obstetrics and Gynecology
±èÁ¤ÈÆ(Kim Chung-Hoon) - University of Ulsan College of Medicine Asan Medical Center Department of Obstetrics and Gynecology
°º´¹®(Kang Byung-Moon) - University of Ulsan College of Medicine Asan Medical Center Department of Obstetrics and Gynecology
Abstract
Objective: To investigate the causes of amenorrhea in Korean women.
Methods: Medical records from 1,212 women with amenorrhea who visited the Department of Obstetrics and Gynecology, Asan Medical Center, between January 1989 and December 2011 were retrospectively reviewed. Amenorrhea was categorized as either primary or secondary.
Results: Primary amenorrhea was identified in 132 of the patients (10.9%) and secondary amenorrhea in 1,080 (89.1%). The most frequent causes of primary amenorrhea were gonadal dysgenesis (28.0%, 37/132); Mayer-Rokitansky-Kuster-Hauser syndrome (20.0%, 27/132); and constitutional delay and androgen insensitivity syndrome (8.3%, 11/132; 8.3%, 11/132, respectively). Secondary amenorrhea was due to polycystic ovary syndrome (48.4%, 523/1,080); premature ovarian insufficiency (14.0%, 151/1,080); and nutrition-related hypogonadotropic hypogonadism (8.3%, 90/1,080).
Conclusion: In this retrospective study, gonadal dysgenesis was the most common cause of primary amenorrhea and polycystic ovary syndrome was the most common cause of secondary amenorrhea in Korean women.
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Amenorrhea, Gonadal dysgenesis, Polycystic ovary syndrome, Causes
KMID :
1033620140410010029
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