What is your treatment plan

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Problem: Miss My Period, a 42 year old female, with LMP 5 months ago presents with c/o vaginal staining x 1 month. Patient states she has been gaining weight rapidly. Patient was taking oral contraceptive pills, but skipped several pills a few months ago. Pregnancy test two months ago negative. Subjective data: Several sexual partners; fatigue; weight gain; unwanted facial hair; pelvic pain; hot flashes and night sweats. Your blood work reveals a FSH of 3 and LH of 42. Instructions: Give an introduction and general background for abnormal uterine bleeding/pcos, including: structural etiology, Non-structural etiology, and pharmacologic etiologies. There are several etiologies for each category. I want them listed and a brief explanation of each. (This means that the explanation should be easily understood by a patient). What other diagnostic testing would you do? What is Miss My Period's diagnosis? Why? Is this a chronic or acute condition? Why? What is your treatment plan? Include referral to a specialist if needed, hormonal treatments (continuous or intermittent treatments). How would you further manage this patient?

Reference no: EM133626021

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