Professional Purdue soap note assignments Help from Experts
Final Diagnosis:

Hypothalamic Amenorrhea 






Plan


Medications:

 	
Oral contraceptive pills (OCPs) or a combination of estrogen and progestin therapy to regulate the menstrual cycle.
 	
Metformin could be considered to help manage insulin resistance, commonly seen in PCOS patients.

Non-pharmacological recommendations: Weight management through a balanced diet and exercise plan. Weight loss may help regulate periods and improve fertility.

Diagnostic Tests:

 	
A scan of the pelvis to look for ovarian cysts.
 	
Levels of serum testosterone, LH/FSH, fasting glucose, and insulin to confirm PCOS.
 	
Levels of TSH and prolactin to rule out problems with the pituitary gland and thyroid.

Patient Education: The patient was taught about PCOS, how it can cause infertility, and how important it is to control their weight. We talked about different fertility treatments that could help people get pregnant.

Health Promotion: Encouraged lifestyle changes, including a healthy diet and regular physical activity.

Referrals: Refer to endocrinology or reproductive endocrinology for further evaluation and management of PCOS-related infertility.

Follow-up: Schedule follow-up in 3 months to assess the efficacy of the treatment and lifestyle modifications. Further evaluation of fertility status may be necessary.



References

Itriyeva, K. (2022). The normal menstrual cycle. Current problems in pediatric and adolescent health care, 52(5), 101183. https://doi.org/10.1016/j.cppeds.2022.101183

Papadakis, G. E., Xu, C., & Pitteloud, N. (2020). Hypothalamic Disorders during Ovulation, Pregnancy, and Lactation. In Maternal-Fetal and Neonatal Endocrinology (pp. 217-240). Academic Press. https://doi.org/10.1016/B978-0-12-814823-5.00016-7

Podfigurna, A., & Meczekalski, B. (2021). Functional hypothalamic amenorrhea: A stress-based disease. Endocrines, 2(3), 203-211. https://doi.org/10.3390/endocrines2030020

Siddiqui, S., Mateen, S., Ahmad, R., & Moin, S. (2022). A brief insight into the etiology, genetics, and immunology of polycystic ovarian syndrome (PCOS). Journal of assisted reproduction and genetics, 39(11), 2439-2473. https://doi.org/10.1007/s10815-022-02625-7