HY USMLE Q #988 – Repro

A 34-year-old woman comes to the physician for a 1-year history of difficulty conceiving with her husband. He has two children from a previous marriage. BMI is 32. Menses occur at 14- to 37-day intervals. Physical examination shows mild acne on the face and upper back. Which of the following is most likely to be seen in this patient?

  Atrophy of endometrium
  Decreased luteinizing hormone
  Endometriomas
  Prostaglandin hypersecretion
  Reduced luteal progesterone