Clinical clueAppropriate tests
Fatigue or weight gainThyroid-stimulating hormone level
GalactorrheaProlactin level
CervicitisPapanicolaou's test, Chlamydia trachomatis and Neisseria gonorrhoeae tests
Enlarged uterusPregnancy test, pelvic ultrasonography
EdemaEvaluation of kidney function
Nausea, fatigue, missed pillsPregnancy test
Heavy bleedingCoagulation profile, evaluation of endometrium for hyperplasia or carcinoma