History of irregular menses and including skipped menses

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Reference no: EM133867477

Question

A 17-year-old young woman presents to her FNP with a 1-year history of irregular menses, including skipped menses, menorrhagia, and dysmenorrhea. She presents to the appointment with her mother. She started menarche at age 14 and states she has never really had regular menses. Over the past year, menses have increased in irregularity and flow with clots, with menstrual cramping. Menses are 7 days in length with mild to moderate clots. Patient uses tampons and changes them during menses, hourly for the first 3 to 4 days and then every 3 hours for the last 2 to 3 days of her menses. The patient states that about twice a year she does not have a menses and related that this is usually during a time of excess physical activity and stress.

Reference no: EM133867477

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