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Case Study 3: AmenorrheaA 22-year-old woman reports no menstrual periods for the past 8 months. She has a history of irregular periods and mild hirsutism. Patient:LH/FSH ratio: 3:1 (elevated)Testosterone: mildly elevatedProlactin and TSH: normalFindings:Diagnosis: Polycystic Ovary Syndrome (PCOS)Combined oral contraceptive pills to regulate menstrual cyclesMetformin to improve insulin sensitivityLifestyle modifications (diet and exercise)Anti-androgen therapy (e.g., spironolactone) for hirsutism if neededTreatment:
