A 17-year-old healthy girl and gymnast in her school team presents with history of the absence of menstruation. She reports that she develops breasts later than her friends and never began menses. On examination, her Tanner stage V development of breasts and pubic hair. Which of the following is the most likely cause of this girl primary amenorrhea?
A. Hypogonadotropic hypogonadism
B. Transverse vaginal septum
C. Testicular feminization
D. Gonadal agenesis
Answer: A
September 8, 2026 112 1
