Last updated on: May 13th, 2024

Hi there!

You’re looking at an interactive case study from Prognosis: Your Diagnosis (one of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.



View details

A 32-year-old gravida 1, para 1 (G1P1) woman is yet to recommence menstruating, around a year after delivery. She has also been suffering from hot flashes and decreased libido for around six months. She stopped breastfeeding around nine months ago because she found it too painful.

Her obstetric history is significant for a low transverse cesarean section at term, for secondary arrest of labor. She subsequently required uterine artery embolization due to intractable bleeding and was transfused six units of packed red blood cells in total.

She is not on any medications including contraceptives, over-the-counter drugs, or herbal medicines. There is no history of antipsychotic or antidepressant use. She has not consumed alcohol since the start of her pregnancy. There is no history of recreational drug use. She hopes to have another child in the future. A urine HCG test is negative.

Want to continue playing?

Subscribe to Clinical Odyssey today.
  • Enjoy unlimited access to 700+ learning modules.
  • Safely improve your skills, anytime and anywhere.
  • Get answers to your follow-up questions from practicing physicians.
Learn more ➜