Tsh

• If PCOS is suspected, consider free or total testosterone, 17-hydroxyprogesterone, fasting glucose, and fasting lipid panel

• If premature ovarian failure is suspected, consider FSH and LH measurements Other Diagnostic Tests

• Progesterone challenge

• Pelvic ultrasound to evaluate for polycystic ovaries Patient Encounter 1, Part 1

JK is an 18-year-old African American woman who presents to her physician with complaints of no menses for 8 months. She is sexually active and has been with the same male partner for the last 5 months. She is not using any form of contraception. She has recently begun college. In addition, she has been active in cross-country training for the past 4 years.

What menstruation-related disorder does this patient have? What are the potential etiologies for this condition?

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