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Ultrasound examination showed polycystic appearance of the ovary. Luteinizing hormone\u2010releasing hormone (LH\u2010RH) test resulted in exaggerated LH response, showing a polycystic ovary syndrome (PCOS) pattern. The diagnosis was based on the elevated intial levels of 17\u2010hydroxyprogesterone (55\u2003ng\/mL) and dihydroepiandosterone (7780\u2003ng\/mL). The first withdrawal bleeding occurred within 6\u2003weeks after treatment with hydrocortisone (20\u2003mg\/day) combined with conjugated estrogens (1.25\u2003mg\/day) and medroxyprogesterone acetate (10\u2003mg\/day), which were continued for five courses. The bleeding remained cyclic every 28\u2003days with maintenance doses of hydrocortisone. Subsequently, ovulation was induced using clomiphene citrate (100\u2003mg\/day). Pregnancy was achieved at the second attempt of ovulation induction and was within 10\u2003months after initial presentation. Continuing hydrocortisone, the patient delivered a healthy baby at term.<\/jats:p>","DOI":"10.1111\/j.1447-0756.2012.01903.x","type":"journal-article","created":{"date-parts":[[2012,6,4]],"date-time":"2012-06-04T18:11:33Z","timestamp":1338833493000},"page":"406-409","source":"Crossref","is-referenced-by-count":6,"title":["Successful pregnancy after the treatment of primary amenorrhea in a patient with non\u2010classical congenital adrenal hyperplasia"],"prefix":"10.1111","volume":"39","author":[{"given":"Indri N.","family":"Purwana","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haruhiko","family":"Kanasaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aki","family":"Oride","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kohji","family":"Miyazaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,6,4]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1210\/er.21.3.245"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1210\/jcem-55-5-817"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1507\/endocrj.40.107"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11154-008-9097-x"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1210\/jcem-69-3-577"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.78.4.810"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2009-1383"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.74.3.635"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2006-0062"},{"key":"e_1_2_5_11_2","first-page":"445","article-title":"Late onset adrenocortical hydroxylase deficiencies associated with menstrual dysfunction","volume":"63","author":"Birnbaum MD","year":"1984","journal-title":"Obstet Gynecol"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0028-2243(84)90070-4"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2000.108020"},{"key":"e_1_2_5_14_2","volume-title":"UpToDate","author":"Nieman L","year":"2011"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1210\/jcem-63-2-418"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(85)80486-8"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2003-031122"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1447-0756.2012.01903.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1447-0756.2012.01903.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T01:57:22Z","timestamp":1697335042000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/j.1447-0756.2012.01903.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,6,4]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,1]]}},"alternative-id":["10.1111\/j.1447-0756.2012.01903.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1447-0756.2012.01903.x","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,6,4]]}}}