08-11-2007, 02:18 PM
27. A 37-year-old nulligravid woman comes to the physician because she has not been able to conceive for 2 years. Her 40-year-old husband has a child by a previous marriage. Her last menstrual period was 6 weeks ago; menses have occurred at increasingly infrequent intervals over the past year. Fifteen years ago, she was treated for one episode of Chlamydia trachomatis infection. She weighs 59 kg (130 lb) and is 170 cm (67 in) tall. Examination shows no abnormalities. Serum studies show:
ß-hCG
<5 mIU/mL
Follicle-stimulating hormone
50 mIU/mL
Luteinizing hormone
45 mIU/mL
Prolactin
13 ng/mL
Thyroid-stimulating hormone
3 µU/mL
Which of the following is the most likely cause of this patient's infertility?
A
) Hypothalamic amenorrhea
B
) Hypothyroidism
C
) Pituitary adenoma
D
) Polycystic ovarian disease
E
) Premature ovarian failure
F
) Tubal factor
thought it was E but her FSH is not that high.
wats your thought??
ß-hCG
<5 mIU/mL
Follicle-stimulating hormone
50 mIU/mL
Luteinizing hormone
45 mIU/mL
Prolactin
13 ng/mL
Thyroid-stimulating hormone
3 µU/mL
Which of the following is the most likely cause of this patient's infertility?
A
) Hypothalamic amenorrhea
B
) Hypothyroidism
C
) Pituitary adenoma
D
) Polycystic ovarian disease
E
) Premature ovarian failure
F
) Tubal factor
thought it was E but her FSH is not that high.
wats your thought??
