A 22-year-old woman presents to the GP with acne, hirsutism, and irregular periods occurring every 40-90 days. Her BMI is 29 kg/m². Bloods show: total...

Question

A 22-year-old woman presents to the GP with acne, hirsutism, and irregular periods occurring every 40-90 days. Her BMI is 29 kg/m². Bloods show: total testosterone mildly elevated, LH:FSH ratio 2.5:1, DHEA-S normal. A pelvic ultrasound shows bilateral ovaries with ≥12 antral follicles each. What is the most likely diagnosis?

Accepted Answer

Polycystic ovary syndrome

Answer

Congenital adrenal hyperplasia

Answer

Cushing syndrome

Answer

Androgen-secreting ovarian tumour

Answer

Hypothalamic amenorrhoea

uk-drcog MCQ (SBA): Polycystic Ovary Syndrome