A patient with primary amenorrhea is suspected of having an anatomical abnormality. Which of the following would be the MOST appropriate next step in their management?
Understand the Problem
The question describes a clinical scenario involving a patient with primary amenorrhea and suspected anatomical abnormality. It requires you to identify the most appropriate next step in management from the given options, considering the need for further investigation versus immediate treatment.
Answer
Imaging (ultrasound or MRI) to assess the anatomy of the uterus and outflow tract.
In a patient with primary amenorrhea suspected of having an anatomical abnormality, the most appropriate next step in management would be imaging, such as an ultrasound or MRI, to evaluate the anatomy of the uterus and outflow tract.
Answer for screen readers
In a patient with primary amenorrhea suspected of having an anatomical abnormality, the most appropriate next step in management would be imaging, such as an ultrasound or MRI, to evaluate the anatomy of the uterus and outflow tract.
More Information
Primary amenorrhea is defined as the absence of menstruation by age 15, or the absence of menstruation within 3 years of thelarche (breast development). Anatomical abnormalities of the uterus or outflow tract are potential causes.
Tips
It is important to rule out anatomical abnormalities before pursuing other potential etiologies of primary amenorrhea.
Sources
- Amenorrhea: An Approach to Diagnosis and Management - AAFP - aafp.org
- Primary Amenorrhea - an overview | ScienceDirect Topics - sciencedirect.com
- Amenorrhea - Gynecology and Obstetrics - MSD Manuals - msdmanuals.com
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