A 29-year-old woman with a BMI of 19 kg/m² presents to the GP with secondary amenorrhoea for 6 months. She exercises intensively, running 60 miles per...

Question

A 29-year-old woman with a BMI of 19 kg/m² presents to the GP with secondary amenorrhoea for 6 months. She exercises intensively, running 60 miles per week. Her FSH and LH are both low (2 IU/L and 1 IU/L respectively). Oestradiol is low. Prolactin is normal. She wishes to conceive. What is the most likely diagnosis?

Accepted Answer

Hypothalamic amenorrhoea secondary to excessive exercise and low energy availability

Answer

Polycystic ovary syndrome

Answer

Premature ovarian insufficiency

Answer

Prolactinoma

Answer

Asherman syndrome

uk-drcog MCQ (SBA): Hypothalamic Amenorrhoea