Nokea
A female patient who has gone through puberty and started menstruating without any problems has developed cessation of periods after 2 years of normal cycles. Which finding would indicate a possible cause for this occurrence?
Correct Answer: B
Rationale: The correct answer is B: Overproduction of androgenic hormones. The cessation of periods after normal cycles can be due to conditions like polycystic ovary syndrome (PCOS), where there is an excess of androgenic hormones. This can disrupt the menstrual cycle. Other choices are incorrect because:
A: Lag in development of secondary sexual characteristics is more indicative of delayed puberty, not cessation of periods after normal cycles.
C: Negative pregnancy test only rules out pregnancy as a cause, not addressing the cessation of periods issue.
D: Clinical diagnosis of primary amenorrhea refers to the absence of periods by age 16 without prior menstruation, not the cessation of periods after normal cycles.