A mother brings her daughter in to see you for consultation. The daughter is 17 years old and has not started her period. She is 4 ft 10 in. tall. She has no breast budding. On pelvic examination, she has no pubic hair. By digital examination the patient has a cervix and uterus (emang boleh ya?). The ovaries are not palpable. As part of the workup, serum FSH and LH levels are drawn and both are high. Which of the following is the most likely reason for delayed puberty and sexual infantilism in this patient?

a. Adrenogenital syndrome (testicular feminization)

b. McCune-Albright syndrome

c. Kallman syndrome

d. Gonadal dysgenesis

e. Müllerian agenesis

the answer is below…

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