What test should be performed first to diagnose the cause

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Problem

A 16-year-old female presents to your office with her mother for evaluation of amenorrhea. She had her first menstrual period 12 months ago and her last menstrual period was three months ago. She has no significant past medical history. She denies sexual activity. On exam her vital signs reveal a heart rate of 80 beats per minute, respiratory rate of 20 breaths per minute, blood pressure of 120/80 mmHg. Her height and weight are both on the 75 %tile for age. Get the instant assignment help. She is well appearing with tanner stage V breast and pubic hair. What test should be performed first to diagnose the cause of her secondary amenorrhea?

Reference no: EM133869216

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