Complaint of irregular menses

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A 15 y.o. girl presents to your office with her mother. She has a chief complaint of irregular menses. She had her first menstrual period six months ago and since has been experiencing menstrual bleeding on a variable cycle anywhere from 30 - 54 days. The menstrual flow has been scant to heavy. You advise: a- She needs a D and C due to endometrial hyperplasia b- Adolescent menses are often irregular during the first year due to an immature hypothalamic-pituitary- ovarian axis c- She should be evaluated for dysfunctional uterine bleeding due to thyroid problems.

Reference no: EM133746945

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