A 23-year-old woman has irregular menses every 2 to 4 months, acne, and increased facial hair. BMI is 32 kg/m2. Pregnancy test is negative. TSH and

Question

A 23-year-old woman has irregular menses every 2 to 4 months, acne, and increased facial hair. BMI is 32 kg/m2. Pregnancy test is negative. TSH and prolactin are normal. Total testosterone is mildly elevated. Which of the following is the most likely diagnosis?

Accepted Answer

Polycystic ovary syndrome

Answer

Hypothalamic amenorrhea

Answer

Androgen insensitivity

Answer

Hyperprolactinemia

Answer

Primary ovarian insufficiency

PCOS — USMLE Step 3 MCQ

A 23-year-old woman has irregular menses every 2 to 4 months, acne, and increased facial hair. BMI is 32 kg/m2. Pregnancy test is negative. TSH and prolactin are normal. Total testosterone is mildly elevated. Which of the following is the most likely diagnosis?