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Clinical Studies on amenorrhea

대한산부인과학회지 1958년 1권 1호 p.41 ~ 48
이한규 (  ) - 수도의과대학 산부인과학교실

Abstract


78 cases of amenorrhea (primary II, secondary 67, all ´are ´over 5 months amenorthea) are ,´divide ´into ollowing clinical categories according Ito their past histories, general and local signs, endemetrial- findings ,and withdrawal bleeding.
Ovarial amenorrhea 51.3%
Uterine amenorrhea . 26:9%_
-Central amenorrhea 21.8%
Among these of all cases, the ovarian amenorrhea.is the highest mumber. Among the uterine amenorrhea the largest number is caused by curettage for artificial abortion; and the next is due to. tuberculosis-. Most of central :amenorrhea caused by psychogenic reaction. Three fourth of total cases of amenorrhea -are with the age of 30.60% visited the - clinic within a year fellowing amenorrhea and the remained 4096 after - more "than -one year 47. 4have ´asymptoms during -amenorrhea. 52.6% complained ´of the gastrointestinal .distress ´due to. the disturbance ,of autonomic nerve system. Withdrawal -bleeding caused by estrogen is.43 out of 78 cases tried, This indicates more than Ulf of total. Not a primary amenorrhea is evoked withdrawal bleeding by the mean. The means of estrogen withdrawal bleeding are not only useful to determine the prognosis of -a.menorrhea, but also. it has value to-provoke the real -menstuxation accompanying the ovulation. 5 among the 9 Eases observed by,,author have provoked normal menstruation "accompanying ´the ovulation by the means.

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