一个65岁的女人没有更年期史:一个案例报告
Keana-Kelley D Swanner1, Larry B Richmond2
1Medicine, Alabama College of Osteopathic Medicine, Dothan, USA.
Cureus
|October 9, 2023
概括
一名65岁的妇女经历了阴道出血,最初怀疑是脑血管事故. 进一步的调查显示有纤维瘤和薄的子宫内膜,荷尔蒙水平表明更年期前的状态,强调了老年患者需要彻底的妇科病史的需要.
科学领域:
- 老年医学 老年医学
- 妇科 妇科 妇科 妇科
- 内分泌学 在内分泌学.
背景情况:
- 更年期,即月经的停止,在美国通常发生在51.4岁左右.
- 晚期绝经是指55岁以后发生的绝经.
- 长期的月经周期在整个老年期都没有记录在医学文献中.
研究的目的:
- 介绍一个老年患者经历阴道出血的病例.
- 强调老年人综合性妇科病史的重要性.
- 为了说明老年患者患有妇科病情的适当诊断工作.
主要方法:
- 一名65岁的女性患者带着脑血管事故的症状来到急诊室.
- 进行了成像研究 (CT扫描和超声波),以调查阴道出血的原因.
- 进行了激素测定 (LH和FSH) 来评估更年期状态.
主要成果:
- 电脑扫描显示出一个大的子宫纤维瘤;超声波显示了一个薄的子宫内膜,排除了子宫内膜病理.
- 患者报告说,出血并没有让她感到惊,这表明这对她来说并不罕见.
- 发现化激素 (LH) 和卵泡刺激激素 (FSH) 的水平处于更年期前的范围内.
结论:
- 这一案例强调了在老年患者中获得详细的妇科病史的必要性.
- 即使没有典型的绝经症状,对于出现阴道出血的老年女性来说,妇科评估至关重要.
- 包括激素评估在内的彻底检查对于老年人群的准确诊断和管理至关重要.
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