Case Part 1: Mrs

Case Part 1: Mrs. X is a 34-year-old woman who presents to the SRH clinic with complaints of inability to conceive despite trying for the past three years. The patient has a 4-year-old daughter and used birth control pills for one and a half years. The couple has been trying to conceive since then and reports a high degree of stress related to their lack of success. The patient reports good health and no problems conceiving her previous pregnancy and delivered her daughter by spontaneous vaginal delivery. She reports that her periods were regular on the birth control pill, but have been irregular since she discontinued taking it. She reports having periods every 5-7 weeks. She experiences occasional weight gain, acne, and excessive hair growth on her face and chest. She has no history of pelvic inflammatory disease (PID) or sexually transmitted infections (STIs). She works as a cashier and has no history of surgery, abnormal Pap smears, smoking, alcohol, or other drugs. Her hu