Reference no: EM133541564

Question

Barbara is a 25-year-old morbidly obese Caucasian female, gravida 0, who presented to the gynecology office for evaluation of irregular menses since menarche and infertility. The patient stated that on average; she has 1 period every 6 months. When she does have her period, she bleeds very heavily, passing large clots, and has a lot of cramping. She also complained about excessive facial hair, which requires her to shave at least once every several days, and a lot of hair on her abdomen and arms. Barbara stated that her mother also has a lot of facial hair but doesn't think that she does anything about it. Barbara and her husband have been trying for >1 year to conceive. She denied any headaches, blurred vision, or discharge from her nipples.