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22nd May 2025
A 35-year-old female presents to her general practitioner concerned that she has tried for a baby for the past 15 months.
A 35-year-old female presents to her general practitioner concerned that she has tried for a baby for the past 15 months. She reports no symptoms but has not had a period for the past five months. The physical examination is unremarkable, and the pregnancy test is negative. Her BMI is 28 kg/m². Routine blood tests show the following:
| FSH (1-11 IU/l) | 49 |
| Oestradiol (72-1309 pmol/l) | 40 |
| Testosterone (0.7-2.8 nmol/l) | 2.1 |
| Prolactin (<400 mU/l) | 291 |
| TSH (0.17-3.2 uU/l) | 2.2 |
| Free T4 (11-22 pmol/l) | 16 |
Which of the following is the most appropriate treatment?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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