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Old 10-31-2013
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Question exercise induced amenorrhea

if a patient had amenorrhea for 3 months ,
low BMI , Hx of vigorous exercise
the next step is FSH or BHCG to rule out pregnancy ?
thank you
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Old 10-31-2013
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i think in a female of reproductive age...secondary amenorrhea u shud always rule out pregnancy first...so b hcg followed by gnrh levels in this patient...
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Old 11-09-2013
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yeah! i think the same too, female in her reproductive age with amenorhea secondary to whatever cause, we first should rule out pregnancy by bhcg.
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