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Hirsutism & Virilization

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1) Serum total testosterone:<br />

• It is a marker of ovarian and adrenal<br />

activity.<br />

• Total testosterone levels greater than 200<br />

ng/dL:<br />

• This suggest androgen-producing tumor.<br />

• In this condition, imaging is indicated:<br />

a. Pelvic ultrasound is best to provide<br />

and image of the ovaries.<br />

b. CT or MRI views the adrenal glands.<br />

• Total testosterone levels less than 200<br />

ng/dL are associated with anovnlation and<br />

hirsutism. The most likely diagnosis is<br />

PCOS.

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