Exam questionKROK 2Medicine ยท 2019
A 26-year-old woman presents with amenorrhea. 10 months ago she gave birth for a second time. In her early postpartum period she developed a massive hypotonic hemorrhage. No breastfeeding. Lately she has been presenting with loss of weight, loss of hair, and indisposition. Gynecological examination revealed atrophy of the external genitals, the uterus is abnormally small, no uterine appendages can be detected. What is the most likely diagnosis?
Answer options
- Galactorrhea-amenorrhea syndrome
- Physiological amenorrhea
- Sheehan syndrome (postpartum pituitary gland necrosis)
- Stein-Leventhal syndrome (polycystic ovary syndrome)
- Suspected progressing ectopic pregnancy
Correct answer
Sheehan syndrome (postpartum pituitary gland necrosis)
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