A 16-year-old girl presents to your office complaining of primary amenorrhea. On physical exam, she has both breasts and a uterus. A pregnancy test returns positive and explains the patient’s...

A 16-year-old girl presents to your office complaining of primary amenorrhea. On physical exam, she has both breasts and a uterus. A pregnancy test returns positive and explains the patient’s amenorrhea. Which of the following does not lead to primary amenorrhea?

A. Testicular feminization

B. Imperforate hymen

C. Transverse vaginal septum

D. Intense physical activity since age 8

E. Removal of left ovary secondary to torsion at age 8