A 24 year old nulligravita states she has irregular menstrual cycles. Her last menstrual period was 6 weeks ago.she admit to being nauseous and fatigued with tender breasts which she normally experiences with her menstrual periods. Additionally she notice a dark line from her symphysis pubis.she is worried that she may have a urinary tract infection since since she is urinating every 2 hres .she thought perhaps she was getting her menstrual cycle since she had some brownish discharge a couple of weeks ago.

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