A 30-Year-Old Nulliparous Woman Comes to the Office for Evaluation

A 30-year-old nulliparous woman comes to the office for evaluation of infertility.  She has been attempting to conceive with her partner of 10 years for the past 2 years.  Menarche was at age 11, and her menstrual cycles occur 2-3 times per year and last 7-10 days.  The patient does not use tobacco, alcohol, or illicit drugs.  Her blood pressure is 128/84 mm Hg and pulse is 84/min.  BMI is 35 kg/m².  Physical examination shows mild acne and hair growth on the upper lip and chin.  This patient is at greatest risk for which of the following complications?

A) Adrenal atrophy
B) Cushing syndrome
C) Diabetes mellitus, type 1
D) Endometrial carcinoma
E) Vaginal adenosis

Correct Answer:

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