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mguan1993
^nvm had a brain fart and go adrenal gland mixed up with anterior pituitary lmao
+5
nor16
ovaries are #1 estrogen producer
no estrogen no lubricant = dyspareunia
no estrogen and no fsh/lh --> there must be a "higher" problem, up there in the brain
+3
pg32
I agree that hypothalamus is the most logical answer, but if she had overactivation of the adrenal gland (cortisol secreting tumor), that could also inhibit GnRH and cause these same symptoms.
+1
drzed
@pg32 the physical examination would not be normal with either a ACTH or cortisol secreting tumor.
+
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submitted by โjackie_chan(34)
If estrogen is low and FSH/LH high, the problem at ovaries. FSH/LH both low so problem with the pituitary gland releasing FSH/LH or even higher up with GnRH in the hypothalamus. Best answer hypothalamus