3 Months Of Secondary in Obstetrics & Gynecology — 30yo Woman | General Gynecology | SMLE Q#12396

SMLE Question #12396

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 30-year-old woman presents to an outpatient gynecology clinic with 3 months of secondary amenorrhea. Her menses were previously regular every 28–30 days with normal flow. She denies hot flashes, galactorrhea, significant weight loss, excessive exercise, and chronic medical illness. She is sexually active with one partner and uses condoms inconsistently. Physical examination, including pelvic examination, is unremarkable. What is the most appropriate initial test?

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