DIAGNOSI DAN TATALAKSANA PREMATURE OVARIAN INSUFFICIENCY
Disusun oleh: Haerun Nisa Siregar 1920221102
Pembimbing: dr. Marinda Suzanta, C.Ht, D.MAS, F.ART, SpOG (K-fer)
KEPANITERAAN KLINIK DEPARTEMEN ILMU KEBIDANAN DAN PENYAKIT KANDUNGAN
FAKULTAS KEDOKTERAN UPN “VETERAN” JAKARTA PERIODE 3 AGUSTUS 2020 – 15 AGUSTUS 2020 fisiologi Definisi & Epidemiologi Premature Ovarian Insufficiency (POI) adalah berhentinya menstruasi pada wanita dibawah 40 tahun dengan karakteristik: -Amenorrhoeae selama 4-6 bulan -Hypergonadotropism (FSH >40 IU/L) -Hypoesterogenism (Estradiol <50pmol/L)
Terjadi pada 1-4% Perempuan
1% pada perempuan 40 tahun 0,1% pada perempuan 30 tahun 1:10.000 pada perempuan 20 tahun
(Gupta, 2020)(Vojovic, et al,., 2012) (Nguyen etal, 2017)
Etiologi
(Gupta et al., 2020)
CLINICAL MANIFESTATIO
(Gupta et al., 2020, Nguyen et al, 2017))
Algoritma DIAGNOSIS (Gupta et al., 2020, Nguyen et al, 2017,Weber, et al, 2017) MANAGEM ENT GUIDLINE (Gupta et al., 2020, Nguyen et al, 2017,Weber, et al, 2017) Daftar pustaka Nguyen H, H. et al. (2020) Premature ovarian insufficiency in generak practic: American College of Obstetricians and Gynecologists. ACOG committee Meeting the needs of woman. Available at: racgp.org.au (Accessed: 8 opinion no 556: Postmenopausal estrogen therapy: Route of Agustus 2020). administration and risk of venous thromboembolism. Obstet Gynecol. 2013;121(4):887-90. Gupta, A. et al. (2019) ‘Premature Ovarian Insufficiency. EMJ Repro Health,. doi: https://doi.org/10.33590/emjreprohealth/19-00041. Dul, A. et al. (2011) ‘Menopause’, Available at patophys.org (Accessed: 7 Agustus 2020) Vujovic, S.et al. (2012) ‘Premature Ovarian Failures’, doi: 10.2298/SARH1212806V. Melmed, S. et al. (eds) (2016) Williams Textbook of Endocrinology. 13th edn. Philadelphia: Elsevier Inc. Persani, L. (2010) ‘The prolactin receptor: Genes involved in human premature ovarian failure. Genes involved in human premature ovarian failure. vvv doi: https://doi.org/10.1677/JME-10-0070. Halperin Rabinovich, I. et al. (2013) ‘Clinical guidelines for diagnosis and treatment of prolactinoma and hyperprolactinemia’, Endocrinología y Nutrición (English Edition). SEEN, 60(6), pp. 308–319. doi: 10.1016/j.endoen.2012.11.009.