A 17-year-old girl has not had her first menstrual period (menarche)and has no signs of puberty-associated growth spurt,breast development,or pubic hair growth.Her pediatrician suspects hypogonadism/delayed puberty of some form.If this patient had a form of primary hypogonadism,she would probably exhibit increased:

Question

Quizplus · Accepted Answer

Primary hypogonadism results from a problem in the gonads themselves, leading to decreased production of sex hormones. In response to decreased levels of sex hormones, the pituitary gland increases production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) in an attempt to stimulate the gonads to produce more hormones. Therefore, in primary hypogonadism, FSH levels are usually elevated. Estrogen levels would be low, and androgen levels could be either low or high depending on the specific cause of the hypogonadism. TSH and GH levels are not directly related to gonadal function.

A 17-Year-Old Girl Has Not Had Her First Menstrual Period