A 33-year-old woman complains of 7 months of amenorrhea following a spontaneous abortion. She had a suction
A 33-year-old woman complains of 7 months of amenorrhea following a spontaneous abortion. She had a suction and sharp dilation and curettage (D&C) 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. Her general physical examination is unremarkable. The thyroid is normal to palpation, and her 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. Questions What is the most likely diagnosis? Amenorrhea (Intrauterine Adhesions) What is the test to confirm the diagnosis? What would be the patient’s likely response if a progestin challenge is administered? What would be the most likely pattern of this patient’s basal body temperature chart?
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