When an adolescent female with an imperforate hymen presents with a history of amenorrhea and physical examination reveals an enlarged uterus, you should request:

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A transabdominal pelvic ultrasound will show a fluid-distended endometrial cavity. Transvaginal pelvic sonography is not needed and could be traumatic. An enhanced pelvic CT is not needed for diagnosis and would unnecessarily expose young ovaries to ionizing radiation. An MRI is much more expensive than ultrasound and is not needed.

When an Adolescent Female with an Imperforate Hymen Presents with a History