A 35-year-old moderately obese woman comes to your clinic with complaints of irregular menstrual cycles. She has been trying to get pregnant for years without success. On physical examination, her BMI is 32 and you note that she has terminalhairs on her upper lip and on the sides of her face. She says that the hair growth has been present since around the time of puberty, but that it seems to have increased over the past several years. The rest of the examination, including pelvic, is otherwise normal.
Laboratory testing yielded the following results:
Serum testosterone 95 ng/dL, serum DHEAS 3mg/mL, serum prolactin 15 ng/mg, LH 35mIU/mL, FSH 10 mIU/mL, estradiol 60 pg/mL, and fasting glucose 130 mg/dL.
What is the most likely cause for the above condition?
A. Normal ethnic variation
B. Polycystic ovary syndrome (PCOS)
C. A virilizing tumor of the adrenal gland
D. Congenital adrenal hyperplasia (CAH)
E. A testosterone-secreting tumor of the ovary
Laboratory testing yielded the following results:
Serum testosterone 95 ng/dL, serum DHEAS 3mg/mL, serum prolactin 15 ng/mg, LH 35mIU/mL, FSH 10 mIU/mL, estradiol 60 pg/mL, and fasting glucose 130 mg/dL.
What is the most likely cause for the above condition?
A. Normal ethnic variation
B. Polycystic ovary syndrome (PCOS)
C. A virilizing tumor of the adrenal gland
D. Congenital adrenal hyperplasia (CAH)
E. A testosterone-secreting tumor of the ovary