Problem:
A 16-year-old girl presents with her parents for evaluation of her menstrual cycle changes. She reports that her last 2 cycles have been very light, with only scant spotting. She had regular periods every 27 days with moderate flow before this episode. She has never been sexually active. She declines a pregnancy test. She appears anxious. Her physical exam is remarkable for obesity without evidence of acne or hirsutism. Her abdomen is soft and nontender. She denies any recent weight changes. What is the best next step in evaluating this patient's condition? Need Assignment Help? A. Ordering serum testing for polycystic ovary syndrome B. Performing a transabdominal ultrasound to assess for pregnancy C. Recommending healthy weight loss through a structured diet and exercise program D. Speaking to the patient without her parents present to clarify her history further