A 14-year-old girl presents with primary amenorrhea and monthly lower abdomen pain. She has good secondary sexual characteristics with axillary and pubic hair. Examination of the external genitalia reveals a bulging bluish membrane. Most appropriate next step in diagnosis:
Ans. is d, i.e. Perform an USGThis patient has imperforate hymen as she has monthly abdominal pain, good secondary sexual characteristics and a bulging bluish membrane (due to collection of blood in vagina) is seen.Most appropriate next step is to do an USG to confirm the presence of uterus, cervix and vagina.
Perform a hormonal profile
Perform a karyotype
Perform a laparoscopy
Perform an USG
Disorders in Menstruation