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Oligomenorrhoea

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Oligomenorrhoea is infrequent menstruation defined by a cycle length between 6 weeks and 6 months.

At one extreme, it overlaps with normal, the cycles being ovulatory but infrequent; at the other, with amenorrhoea. Oligomenorrhoea may be due to any of the disorders associated with amenorrhoea except primary failure of elements of the hypothalamic-pituitary-ovarian axis which cause permanent amenorrhoea.

Oligomenorrhoeic cycles may be ovulatory or anovulatory. If infertility is a concern and discrete endocrine disorders have been excluded, treatment of oligomenorrhoea should first be with clomiphene, and if this is unsuccessful, with pulsatile GnRH or human gonadotrophins.

 

Reference

  1. Yumna Riaz; Utsav Parekh. Oligomenorrhea. Treasure Island (FL): StatPearls Publishing. 2024 Jan.

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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