A 31-year old woman originally from Nepal presented to her primary care physician after failing to become pregnant despite having regular unprotected intercourse for the past 18 months. Her menarche had occurred at 13 years of age. Her menses lasted for 6 to 7 days, occurred regularly every 4 weeks, and were associated with typical premenstrual symptoms. She had no history of sexually transmitted diseases, pelvic inflammatory disease, or abnormal Papanicolaou (Pap) smears. She had never used an intrauterine device and had never been or attempted to become pregnant previously.
You are guided through this patient’s clinical developments, and presented with detailed video and graphics from both lab and radiologic tests. Once a choice is made, you are provided with immediate feedback on your decision. Later, you may read the full Clinical Problem Solving report.
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