Age in Obstetrics & Gynecology — 17yo Child | General Gynecology | SMLE Q#714
SMLE Question #714
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 17-year-old girl is brought by her mother because she has never had a menstrual period. She runs cross-country and tracks her calorie intake daily. Her BMI is at the 5th percentile for age, and she reports intentionally maintaining very low weight for athletic performance. She denies galactorrhea, chronic headaches, or visual changes. Pregnancy test is negative. Examination shows normal secondary sexual characteristics. Which factor is the most important contributor to her amenorrhea?
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