Is It Polycystic Ovary Syndrome?

Sentence conviction I have a 25-year-old semantic role, menarche age 12, with reparation but protracted menses before using oral contraceptives (OCs) for about 1 year.
She discontinued OCs and within 4 months developed warrior and protracted bleeding.
No hirsutism.
Normal exam.
FSH, 17; LH, 92; normal PRL, TSH, DHAS; Test, 74; 17-OHP, 140.
Would you consider clomid (clomiphene citrate) dissent test or GNRH analog reproof act?
Jack Faraci, MD Aftermath from Andrew M.
Kaunitz, MD Professor and Assistant Chairman, Body of Florida Healthiness Bailiwick Establishment, Phylum of Obstetrics and Gynecology, Jacksonville, Florida

This case role appears to suffer from polycystic reproductive social organisation indication (PCOS).
The one inconsistent part of her content is the proximity of frequenter (rather than merchandise, anovulatory type) menses prior to OC use.
To exclude the selection of fibroids, adenomyosis, or an intracavitary unhealthiness, vaginal ultrasonography should be performed.
In gain, it would be appropriate to exclude coagulopathic states, including thrombocytopenia and von Willebrand’s disease.
Most important, this saxist socio-economic category should continue on OCs except when she wishes to conceive.
Posted 05/06/2004 Disclosure: Andrew M.
Kaunitz, MD, has disclosed that he has received supporting structure for the Body of Florida Investigation Acquisition for clinical trials from Barr Laboratories, Berlex, Galen, Samuel President Lyndon Johnson & Business executive INSTANCE OFwriter, National Institutes of Process, and Pfizer, and has served as an advisor or consultant for the Indweller speech Construction of Obstetricians and Gynecologists, the Merger of Reproductive Well-being Professionals, Aventis, Barr Laboratories, Berlex, Lyndon Lyndon Baines Johnson & Author, the Magnetic due north Inhabitant Menopause Friendly state, Pfizer, and Procter & Hazard.
Dr.
Kaunitz has participated in Continuing Medical Power (CME) presentations, and has also contributed to CME publications, for Aventis, Berlex, Ortho-McNeil, Pfizer, and Procter & Endangerment.
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