18 Year old girl comes to gynae OPD presenting with 6 months of amenorrhea, with h/o low grade fever, weight loss, pain abdomen, generalized weakness. On examination pelvic mass felt on left side with features of ascites. Diagnosis?: (A) TB pelvis with tubo ovarian mass, (B) Ectopic pregnancy, (C) Granulosa cell tumour, (D) Fibroid degeneration
Answer is A. Tubercular PID Pathogenesis of amenorrhea Endometritis - endometrial destruction- Asherman syndrome --> amenorrhea (non responsive to withdrawl by estrogen + progesterone) Oligomenorrhea Hypomenorrhea Amenorrhea ( m/c) C/F : low grade fever weight loss , pain abdomen, generalized weakness. Amenorrhea