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Review Question - QID 108707

Primary Amenorrhea Etiology most cases are due to genetic causes or anatomical abnormalities QID: 108707 (M2.GN.17.4754)
In scope icon M 7 D
QID 108707 (Type "108707" in App Search)
A 17-year-old female presents to her pediatrician due to lack of menstruation. She states that she developed breasts 4 years ago but has not experienced menses yet. The patient denies abdominal pain and has no past medical history. Her mother underwent menarche at age 13. The patient is a volleyball player at school, is single, and has never attempted intercourse. At this visit, her temperature is 98.3°F (36.8°C), blood pressure is 110/76 mmHg, pulse is 72/min, and respirations are 14/min. She is 5 feet 7 inches tall and weighs 116 pounds (BMI 18.2 kg/m^2). Exam shows Tanner 4 breasts, Tanner 1 pubic hair, and minimal axillary hair. External genitalia are normal but the vagina ends in a blind pouch after 5 cm. Genetic testing is performed to confirm the diagnosis. Which of the following is the most appropriate next step in management?
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