A 20-year old college student goes to the student health center because she has not had a menstrual Show more A 20-year old college student goes to the student health center because she has not had a menstrual period for several months (amenorrhea).
A 20-year old college student goes to the student health center because she has not had a menstrual Show more A 20-year old college student goes to the student health center because she has not had a menstrual period for several months (amenorrhea).
Before that she had them regularly. She has normal secondary sex characteristics but below average weight for her height. Results of numerous blood tests including levels of thyroid hormone are normal. A test for HCG is negative. She teaches an aerobics class at the Lyon Center exercises vigorously at least an hour a day and is not taking birth control pills. Which one of the following is the most likely cause for her amenorrhea? a. The endometrium of her uterus is unresponsive to gonadotropins. b. Although thyroid hormone levels are normal her pituitary is secreting inadequate levels of TSH. c. The stress of her strenuous exercise and low body weight is suppressing GnRH secretion. d. An inherited metabolic deficit renders her ovaries unable to secrete estrogen. e. The student is pregnant. Show less
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