Amenorrhea MRI
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
There are no MRI findings associated with amenorrhea. However, a MRI may be helpful in the diagnosis of the diseases that can cause amenorrhea, such as polycystic ovary syndrome (PCOS), androgen insensitivity syndrome, anatomic genital defects, and also pituitary adenoma.
MRI
- There are no MRI findings associated with amenorrhea. However, a MRI may be helpful in the diagnosis of the diseases that can cause amenorrhea, such as polycystic ovary syndrome (PCOS), androgen insensitivity syndrome, anatomic genital defects, and also pituitary adenoma.
Polycystic ovary syndrome (PCOS)
- Findings on an MRI diagnostic of polycystic ovary syndrome (PCOS), Rotterdam criteria, include:[1]
Androgen insensitivity syndrome
- Findings on an MRI suggestive of androgen insensitivity syndrome include:[2]
- Bilateral cryptorchidism
- Juxta-testicular Mullerian duct cysts
- Absent/Rudimentary uterus
Anatomic genital defects
- Findings on an MRI suggestive of imperforate hymen include:[3]
- Hypoechoic mass in the vagina (hematocolpos) and enlarged uterus (haematometra)
- Normal ovaries
- Findings on an MRI suggestive of transverse vaginal septum include:
Pituitary adenoma
- Brain MRI may be helpful in the diagnosis of the cause of amenorrhea. Findings on MRI suggestive of amenorrhea include:[4]
- Hypothalamo-pituitary lesions
- Optic nerve compression (pituitary adenoma)
- Inner ear abnormalities (CHARGE syndrome)
- Brain MRI is indicated in patients with amenorrhea, experiencing some alarm signs, such as headache, visual impairment, and behavioral changes.
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Pituitary adenoma - Case courtesy of A.Prof Frank Gaillard[5]
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Hypothalamic lesion - Case courtesy of A.Prof Frank Gaillard[5]
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Pituitary non-functioning macroadenoma - Case courtesy of A.Prof Frank Gaillard[5]
References
- ↑ Kenigsberg LE, Agarwal C, Sin S, Shifteh K, Isasi CR, Crespi R, Ivanova J, Coupey SM, Heptulla RA, Arens R (2015). "Clinical utility of magnetic resonance imaging and ultrasonography for diagnosis of polycystic ovary syndrome in adolescent girls". Fertil. Steril. 104 (5): 1302–9.e1–4. doi:10.1016/j.fertnstert.2015.08.002. PMC 4630153. PMID 26354095.
- ↑ Tank, Jay; Knoll, Abraham; Gilet, Anthony; Kim, Susanne (2015). "Imaging characteristics of androgen insensitivity syndrome". Clinical Imaging. 39 (4): 707–710. doi:10.1016/j.clinimag.2015.02.002. ISSN 0899-7071.
- ↑ Lardenoije C, Aardenburg R, Mertens H (2009). "Imperforate hymen: a cause of abdominal pain in female adolescents". BMJ Case Rep. 2009. doi:10.1136/bcr.08.2008.0722. PMC 3029536. PMID 21686660.
- ↑ Boehm U, Bouloux PM, Dattani MT, de Roux N, Dodé C, Dunkel L, Dwyer AA, Giacobini P, Hardelin JP, Juul A, Maghnie M, Pitteloud N, Prevot V, Raivio T, Tena-Sempere M, Quinton R, Young J (2015). "Expert consensus document: European Consensus Statement on congenital hypogonadotropic hypogonadism--pathogenesis, diagnosis and treatment". Nat Rev Endocrinol. 11 (9): 547–64. doi:10.1038/nrendo.2015.112. PMID 26194704.
- ↑ 5.0 5.1 5.2 Radiopaedia.org. From the case <"https://radiopaedia.org/cases/16890">rID: 16890