A 19-year-old woman comes to the gynecologist's office. When the nurse asks the reason for this visit, the woman explains that she has never had a menstrual period, and that she is concerned there might be something wrong

Question

The diagnosis that the physician is most likely to make based on this information is: 1. Primary dysmennorrhea.
2. Secondary infertility.
3. Primary amenorrhea.
4. Secondary amenorrhea.

Answer 1

3
Rationale 1: Primary dysmenorrhea is the condition when menses have always been painful.
Rationale 2: Secondary infertility is not a condition.
Rationale 3: Primary amenorrhea is the term for the condition when menses have never occurred.
Rationale 4: Secondary amenorrhea is amenorrhea that develops after menses have occurred.