A 17-year-old girl had her first menstrual period two years ago, lasting 3-4 days with little discharge. Since then, she has not experienced a second menstrual period. A pelvic ultrasound (USG) revealed no polycystic ovaries (PCO), and her hormone profile is as follows: FSH 8.25, LH 2.67, PRL 10.73, TSH 3.67, testosterone 39.0. She has thick facial hair. Her weight is normal. Would initiating treatment with Ginette 35 and Aldactone be advisable? Kindly suggest an appropriate treatment option.

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Dr. Sunitha Hanumanthu

Dr. Sunitha Hanumanthu

Gynaecologist

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What about her secondary sexual characteristics? What is her endometrial thickness on scan?Rule out tuberculosis. Put her on progesterone withdrawl first instead of Diane 35

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