A healthy 38-year-old woman presents with amenorrhea. She has easy bruising and worsening emotional lability, and she has gained weight. Do you know what's wrong?
4 months before presentation, despite previously having regular menstrual cycles. She denies any physical symptoms but has noticed easy bruising and recently has had worsening emotional lability. During the past year, she has gained 30 lb .
She has no history of fertility treatment or evaluation.supplements. She has no past surgical history. Her Papanicolaou test is up to date, and she has no history of dysplasia. She has never smoked and consumes approximately three alcoholic beverages per month. Her family history is negative for breast, colon, and gynecologic cancer. Her brother has
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