Patient History : A 16-year- old adolescent female is referred for never having menstruated. She is otherwise in good health. She has an older sister who experienced menarche at age 12 years. She denies excessive exercise or having an eating aversion. There is no family history of depression. Physical Examination: She is 50 in tall and weighs 100 lb. The neck is supple and without masses. Her breasts appear to be Tanner stage I, and her pubic hair pattern is also consistent with Tanner Stage I.
Abdominal examination reveals no masses. The external genitalia are normal for a prepubescent female. A normal-appearing small cervix is seen on speculum examination. On bimanual examination, a small uterus and no adnexal masses are palpated. What are the diagnosis and next best step for this patient? *This patient case is from Docplexus Editorial Team for educative purpose only. Source: Case…
