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11th April 2024
A 26-year-old female presents to the endocrine clinic with a 12-month history of amenorrhoea.
A 26-year-old female presents to the endocrine clinic with a 12-month history of amenorrhoea. Prior to this, her periods were regular since age 13. She reports the past 6 months have been difficult as she has had mood swings, hot flushes, and night sweats. Her pregnancy test is negative, and her BMI is 25 kg/m². Bloods were taken five weeks ago and showed the following:
| FSH (1-11 IU/l) | 44 |
| Oestradiol (72-1309 pmol/l) | 45 |
| Testosterone (0.7-2.8 nmol/l) | 1.2 |
| Fasting glucose (3.9-5.6 mmol/l) | 4.2 |
| TSH (0.17-3.2 uU/l) | 2 |
| Free T4 (11-22 pmol/l) | 14 |
You request a repeat FSH which is 47 IU/l.
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