Discuss primary care physician with persistent amenorrhea


Question: A 29-year-old patient presents to her primary care physician with persistent amenorrhea and inability to breastfeed over the last 5 months. She says that she has also been very tired since her baby was born and this fatigue was accompanied by an inability to deal with cold weather despite having no problem with cold prior to becoming pregnant. She has gained an additional 5 pounds since delivery. Review of her hospital records reveals that she had a vaginal delivery that was complicated by severe hemorrhage and episodes of hypotension. Which of the following hormone levels is likely to be within the expected physiologic range? Follicle-stimulating hormone (FSH) Prolactin Thyroid hormone Cortisol Aldosterone

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