Long-standing Irregular Menstrual Cycles in Obstetrics & Gynecology — 32yo Woman | General Gynecology | SMLE Q#18200
SMLE Question #18200
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 32-year-old woman presents to a gynecology clinic with long-standing irregular menstrual cycles and bothersome coarse hair over the chin and upper lip. She has no acne, voice deepening, increased muscle mass, or rapid-onset symptoms. Pelvic examination is unremarkable. She is not currently seeking pregnancy. What is the most appropriate initial management to treat her menstrual irregularity and hirsutism?
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