Hipogonadismo femenino: métodos de diagnóstico en la atención primaria en salud

Abstract

Introduction: female hypogonadism refers to a clinical syndrome that is caused by deficient production of steroid hormones by ovarian failure, or due to secondary dysfunction of the hypothalamic-pituitary-gonadal axis. Since hypogonadism in women is a health problem that affects the quality of life of her, its early identification is of the utmost importance to avoid long-term complications Objective: To determine the diagnostic methods of female hypogonadism for a correct early and timely assessment of this disease. Methodology: A bibliographic review of scientific articles has been carried out in medical search engines Pubmed, Elsevier, Medscape, AEPED, issued since the last 5 years for the extraction of information on the diagnostic methods of female hypogonadism. Conclusion: The diagnostic methods to determine if a woman suffers from hypogonadism are, in the first instance, hormonal tests such as the follicle-stimulating hormone (FSH), luteinizing hormone (LH), 17β-estradiol, prolactin, GNRH test and IGF-1. Regarding imaging tests, pelvic ultrasound is recommended to identify abnormalities in the internal reproductive organs of women, in addition, magnetic resonance imaging is useful in patients with suspected secondary hypogonadism or with alterations in the hypothalamus-pituitary.