A 28-year-old woman presents with irregular menstrual cycles…
A 28-year-old woman presents with irregular menstrual cycles and difficulty conceiving. Laboratory tests reveal low FSH and LH, but normal ovarian anatomy on ultrasound. She reports significant stress and recent weight loss due to intense marathon training. Essay Prompt:Explain how the HPO axis regulates the menstrual cycle, including the roles of GnRH, FSH, LH, estrogen, and progesterone. Discuss how stress and low body fat can disrupt this axis, leading to anovulation and infertility.
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