A 28-year-old female sees you with a complaint of irregular - TopicsExpress

A 28-year-old female sees you with a complaint of irregular menses. She has not had a menstrual period for 6 months. She is also concerned about weight gain, worsening acne, and dark hair on her upper lip, chin, and periareolar region. She is also interested in becoming pregnant soon. The patient tells you she has started an exercise program, which has helped with weight loss, but she continues to have amenorrhea. She has a negative urine -hCG test, a mild elevation in free testosterone levels, and glucose intolerance. Which one of the following would you consider initially for inducing ovulation? A) Insulin B) Metformin (Glucophage) C) Ethinyl estradiol/norgestimate (Ortho Tri-Cyclen) D) Glipizide (Glucotrol) E) Spironolactone (Aldactone)

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