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:
Perform a hormonal profile
Perform a karyotype
Perform a laparoscopy
Perform an USG
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.
Disorders in Menstruation