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Gynaecology & Obstetrics General 1fd04b32

A 24 years old female presented with amenorrhea for 3 months. LH and FSH levels are elevated three times the normal value. What is the next best step?

A
Urinary HCG level
B
Check serum estradiol levels
C
Progesterone challenge test and look for withdrawal bleeding
D
Ultrasound of abdomen and pelvis
High-Yield Explanation
Answer- B. Check serum estradiol levelsLH and FSH levels by the third montlt of pregnancy are steady st a low level. HCG takes over tlte function of LH after feilization and inhibils production on LH . Inhibin A produced by fetal trophoblasts suppresses maternal FSH secretion. Hence, 3 times elevation of LH and FSH points towards premature ovariun failure. Serum estradiol levels should be measured to confirm the diognosis

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