Case:

This is a case of G.N., a 28 year old, nulligravid who came in due to inability to conceive after 3
years.

Past Medical History:

She has no history of surgeries or admissions.
She has no known allergies.

Family Medical History:

+ DM-Mother and Sister
No family history of cancer, hypertension, infertility

Personal and Social History:

She is a teacher, non smoker and non alcoholic beverage drinker.

Menstrual history:
She had her menarche at 12 years old, with subsequent menses at interva;ls of 40-80 days,
lasting for 5-7 days, consuming 2-3 pads per day, with no dysmenorrhea.
LMP February 18, 2024
PMP: December 25, 2023

Obstetric History:
She is a Nulligravid

Gynecologic History:
She had her first sexual contact at 24 years old, with 1 partner. She has no history of STI’s. No
papsmear.

Male partner history:

32 years old, engineer, unremarkable past history, normal BMI, no vices, no sexual dysfunction.

Physical examination:

BP: 140/90 mmHg

BMI: 28
Laboratory results/ Diagnostics
Transvaginal ultrasound:

TSH: normal
Prolactin: normal
75 g OGTT: 2nd hour 220
Lipid profile:
TG 250 mg/dl
HDL 20 mg/dl
Hysterosalpingogram: patent bilateral tubes

1. What is your diagnosis? What is the basis of your diagnosis?

2. What other diagnostic tests will you request and why?
3. How will you manage your patient?