Female Reproductive System & Breast

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This young lady has presented with secondary amenorrhea (i.e. cessation of periods for 6 months or more).\n\nShe also gives a history of irregular menstruation from the time of menarche, potentially indicating an endocrinopathy.\n\nLast but not least, note the presence of acne and hirsutism - this is suggestive of hyperandrogenism.\n\nConsidering the above facts, likely diagnoses include polycystic ovarian syndrome (PCOS), congenital adrenal hyperplasia (CAH), and androgen secreting ovarian or adrenal tumors.\n\nIn addition, the possibility of Cushing\u0027s syndrome, hypothyroidism or hyperprolactinemia should also be kept in mind.\n\nA hormonal profile is essential to differentiate between the above conditions.\n\nIn this patient, the normal 17-hydroxypro"}]}

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