Hypogonadotropic Hypogonadism - Canary in a Coal Mine? Case Report

24 yrs female, reported to the Reproductive Medicine Out Patient Department with history of involuntary childlessness for 3 yrs. She attained spontaneous menarche at 13 yrs. Initial cycles were regular, later it became irregular with a cycle length of 60-90 days. Since three years she had withdrawal cycles with combined pills. She was a known case of diabetes mellitus diagnosed one year ago for which she was on oral hypoglycaemic agent and insulin. Glycaemic control was suboptimal despite compliance to medication. No significant parental/sibling history.