Amenorrhea by Amar Chatterjee

By Amar Chatterjee

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2010), AFC and AMH seem to be the best markers of ovarian reserve. These two markers are highly correlated and for breast cancer patients receiving tamoxifen, lower AFC, AMH and inhibin-B were observed than for non-tamoxifen-treated survivors. However, it is important to insist on the fact that breast cancer survivors can become pregnant with undetectable levels of AMH Anderson & Cameron (2011). In our institution, this year and the year before, 4 patients (30, 39, 36 and 30 years respectively) became pregnant with undetectable levels of AMH, but we have no values before the start of chemotherapy.

Critical Ages and Stages of Puberty in the Accumulation of Spinal and Femoral Bone Mass: The Validity of Bone Mass Measurements. Hormone Research Vol. 54 (Suppl 1), 2000, pp. , Spratt, D. & Klibanski, A. 1991. Osteopenia in women with hypothalamic amenorrhea: a prospective study. Obstet Gynecol Vol. 78, 1991, pp. 996-1001 Brotman, A. & Stern, T. 1985. Osteoporosis and pathologic fractures in anorexia nervosa. Am J Psychiatry Vol. 142, 1985, pp. , Beninato, L & Magnani L. 2000. Estrogen replacement therapy in the management of osteopenia related to eating disorders.

So far, it is unclear whether lean mass regulates the bone mass in the postmenopausal women. The importance of lean mass or muscle mass in controlling the bone mass is supported by in vitro and in vivo studies. , 1991). , 1991). , 1991). The duration of fertility period but not the age at menarche or at menopause may affect osteoporosis?. The obstetric history of previous childbirths and/or miscarriages, independent of the number, is not a risk factor for osteopenia or osteoporosis? 8. Contribution of lean and fat mass to bone mass The body fat tends to increase with age.

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