Patient History: A 33-year-old woman complains of 7 months of amenorrhea following a spontaneous abortion. She had a dilation and curettage at that time. Her past medical and surgical histories are unremarkable. She experienced menarche at age 11 years and notes that her menses have been every 28 to 31 days until recently. Physical Examination: Her general physical examination is unremarkable. The thyroid is normal to palpation, and breasts are without discharge.
The abdomen is nontender. The pelvic examination shows a normal uterus, closed and normal-appearing cervix, and no adnexal masses. A pregnancy test is negative. What is the most likely diagnosis and how will you confirm it? *This patient case is from Docplexus Editorial Team for educative purpose only. Source: Case Files Obstetrics and Gynecology
