Briefing — read this before starting. The transcript will appear here once the consultation begins.
Doctor Notes
Patient Information
Name: Zara Mahmood
Age: 24 years
Gender: Female
Reason for Appointment
Review of irregular periods and fertility-related bloods ahead of planned conception.
Medical History
Past Medical History
- Acne
Drug History
- Stopped Microgynon 30 around 18 months ago in preparation for trying to conceive
- Uses OTC benzoyl peroxide for acne
Recent Results (2 weeks ago)
- TSH 2.1 mU/L (0.4–4.0); prolactin 260 mIU/L (100–500)
- LH 14 IU/L (2.4–12.6)
- FSH 5 IU/L (3.5–12.5)
- Total testosterone 4.5 nmol/L (0.3–1.8)
- SHBG 35 nmol/L (27–120)
- HbA1c 41 mmol/mol (20–41)
- Pelvic USS: bilateral polycystic-appearing ovaries
Family History
Mother has T2DM diagnosed age 48. Older sister has irregular cycles.