1397-04-25-case-presentation

21. Our case is a 23 year-old female presented with secondary amenorrhea.
21. Her menarche was at 13 years-old and had a regular menstural cycles.
21. She had undergone normal puberty and thelarce  with no significant past medical or surgical history. And her family history was unremarkable.
21. About 3 years ago she had missing menstural periods but she had not been evaluated. 
21. Last year, In primary work-up, PCOD in sonography and prolactin level of 116ng/ml in lab tests were reported.