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free120/Block 2/Question#33 (reveal difficulty score)
A 17-year-old girl has never had a menstrual ...
Androgen insensitivity πŸ” / πŸ“Ί / 🌳

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submitted by βˆ—waterloo(118),
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Jtus ot dad to tnexap.oianl esnAwr is tno lceitngona nedalra eprpysailha, aceseub pt ahs olamrn asbter tlendpevemo dna nrlamo etrxenla tgnlae.iai smot mocmon pety aye1-xdohrs2ly fde luwod vhae ropcesiocu pyrbteu or lolictra eenm.agrteln snsiotuQe ssay anettip ash oanlrm raaenpigp xranltee etaa.nlgii ars7-1xayylhdoe efd dlouw dlae to guoumsiba ielintaga in XY nad ni XX terhe uldow be no edaoncyrs asluex vmendtelpeo scauebe lkac fo sxe e.sstdiro Btu a,gain qoiesutn ssya tp ash nalrmo tarbes dnelmpteove dna trlxneae i.lenitaag nI xrel-1dayyohsB1 de,f XX wodul heav nriialtz,ivoi agian nto apilepclba .eher

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a shypc sroiddre luocd trowh you fo,f ameby ptaneit si ont etigna genuoh nad is ton inghva a dirope. Btu tehy dsia rlmnoa mlafee dbyo isbah,ut os I khtin ttah smees essl likely ermcoapd ot rengdoan y.sisniinievtt

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submitted by βˆ—benwhite_dotcom(653),
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nrnAdoge iiintniesvyts is aucsde yb a dvietcefe adnnroge .roeercpt THD si slerpebisno rof tgerinca male anitlegia idurgn tealf euxlsa n.teloeedvpm The utfadel ahnum gerend is lef.mae So a elgceyntial elma npttaei htiw omplcete adonengr ntvsitnisiiey si taneleyrxl loctlapiyenphy ae.mfel Lcka of rsoeespn to enrdala renodsnga ntsvepre iarh rotoifman ridnug tuepybr h.radeae)rnc(

submitted by myriad(2),
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usJt gw,enrdnoi lcuod stih tteispna' onisterpenat lsao be teh estrlu fo an mpIrtoafere emynH ro esrevTanrs nlaVagi uS?tmpe I was iknloog orf oehst in eth arnwes isceh,co and ugohtth ocdtarmleE piaDaysls mihtg be rgerirnfe ot ehteir of oe.hst

zolotar4  so was curious, found on wiki - "If untreated or unrecognized before puberty, an imperforate hymen can lead to peritonitis or endometriosis due to retrograde bleeding." - our patient has no symptoms besides never having a menstrual period and probably would've been seen in the clinical presentation. +1  
jj375  Also I think that if it was imperforate hymen or Transverse Vaginal Septum then the patient would have normal axillary and pubic hair. But the lack of these things made me think it was more hormonal +1  

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