system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 29-year-old woman, gravida 1, para 1, comes to the physician because of difficulty conceiving for one year. She is sexually active with her husband 4–5 times a week. Pregnancy and delivery of her first child 3 years ago were uncomplicated. She returned to work as an event coordinator 12 months ago and has found the transition stressful. Menses previously occurred at 30-day intervals and lasted for 3–4 days with moderate flow. Her last menstrual period was three months ago. She has occasional vaginal dryness. The patient runs 5 to 10 miles every day. Her BMI is 19.0 kg/m2. Her pulse is 73/min and blood pressure is 125/70 mm Hg. Abdominal examination shows no abnormalities. Pelvic examination shows dry vaginal mucosa. A serum pregnancy test is negative. Serum studies show:
Prolactin 18 μg/L
Thyroid-stimulating hormone 2.5 mU/L
Follicle-stimulating hormone 3.6 U/L
Luteinizing hormone 2.3 U/L
Ultrasound of the pelvis shows no abnormalities. In addition to dietary and exercise counseling, which of the following is the most appropriate next step in management?"
assistant
Offer pulsatile gonadotropin-releasing hormone therapy