Secondary Amenorrhea Syndrome — Diagnosis and Psychosomatic Treatment

  • D. Richter
Conference paper

Abstract

Intensive research in reproductive endocrinology over the past 15 years has resulted in a tremendous accumulation of knowledge concerning the physiology and pathology of the regulation of the menstrual cycle. The regular ovarian function is absolutely dependent on a well-balanced interaction of the CNS, the hypothalamus, the pituitary, and the ovary itself. The normal function of this functional unit depends on a regular pattern of pulsatile secretion of gonadotrophin-releasing hormone (GnRH) in the nucleus arcuatus in the hypothalamus. As an answer to an adequate GnRH secretion the pituitary synthesizes and secretes follicle-stimulating hormone (FSH) and luteinizing hormone (LH) in an adequate amount, which in turn stimulates follicular maturation.

Keywords

Estrogen Citrate Testosterone Prolactin Defend 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Suggested Reading

  1. Balint M (1965) Der Arzt, seine Patientin und die Krankheit. Klett, StuttgartGoogle Scholar
  2. Breckwoldt M, Peters D, Richter D, Roll H, Zahradnik HP (1977) Aspekte der Psychologie und Pathologie der Funktionseinheit Hypothalamus-Hypophyse- Ovar. Geburtshilfe Frauenheilkd 37: 441Google Scholar
  3. De Senarclens M, Fischer W (1978) Amenorrhée: féminité impossible? Etude socio-psychosomatique. Masson, ParisGoogle Scholar
  4. Knobil E (1980) The neuroendocrine control of the menstrual cycle. Recent Prog Horm Res 36: 53PubMedGoogle Scholar
  5. Molinski H, Rechenberger J, Richter D (1979) Psychosomatik in der Sprechstunde des niedergelassenen Arztes, eine Utopie? Dtsch Ärztebl 50: 3307Google Scholar
  6. Peters F, Richter D (1979) Psychosomatic conflicts and gonadotropin secretion. Acta Endocrinol [Suppl] 225: 471Google Scholar
  7. Petterson F, Fries H, Nillius SJ (1973) Epidemiology of secondary amenorrhoea. Am J Obstet Gynecol 80: 117Google Scholar
  8. Richter D, Peters F, Breckwoldt M (1979) Psychotherapeutische Behandlungsergebnisse der sekundären Amenorrhoe. Korrelation psychosomatischer und endokrinologischer Befunde. Arch Gynakol 228: 564Google Scholar
  9. Richter D, Peters F, Breckwoldt M (1979) Therapeutic experiences in the treatment of patients with secondary amenorrhoea: psychosomatic and endocrinological aspects. In: Carenza L, Zichella L (eds) Emotion and reproduction. Proceedings of the Serono Symposia. Academic, London, p 249Google Scholar
  10. Richter D (1982) Psychosomatisch und endokrinologisch orientierte Diagnostik und Therapie des sekundären Amenorrhoe-Syndroms. Gynäkologe 15: 173–189PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1991

Authors and Affiliations

  • D. Richter

There are no affiliations available

Personalised recommendations