Primary Amenorrhea in Pediatrics — 15yo Child | Pediatric Endocrinology | SMLE Q#11749
SMLE Question #11749
Pediatrics
Pediatric Endocrinology
Objective: OBJ-173
Last updated: February 2026
A 15-year-old girl presents with primary amenorrhea. She runs cross-country 5–6 days per week and has a weight and BMI below the 5th percentile. She has Tanner stage IV breast and pubic hair development with normal external female genitalia. She denies galactorrhea, headaches, or chronic illness. What is the most appropriate intervention to restore menses?
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