A 42-year-old client with secondary amenorrhea who says that her last menstrual cycle was 3 months ago.

A 39-year-old client who is complaining of 4/10 pain after an abdominal hysterectomy.

A 39-year-old client with heavy spotting after having a progestin-containing IUD (Mineral Inserted a month ago.

A 19-year-old client with menorrhagia who has been using superabsorbent tampons and has fever with weakness.