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My cousin is 14 years, not had menarche yet. She has body changes like breast development, pubic hair. Her LH level is 1.16, FSH 3.6, TSH and FT4 and prolactin normal. Pelvic ultrasound shows a simple cyst in right ovary of 3.5 cm. Should this be investigated further? Should she need any meds to get menarche? Is there any serious problem?


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