A 20 year average weight female presented with oligomenorrhea and abnormal facial hair growth along with high serum free testosterone levels. On USG the ovaries are normal. The diagnosis :
Rotterdam criteria of PCOS Diagnosis of PCOS should be based on at least two of three major criteria, including (1) Oligo/anovulation, (2) Clinical or Biochemical signs of Hyperandrogenism (Hirusitism,Acne,Androgenic alopecia.) (3) Polycystic ovaries (as identified by ultrasonography), also excluding other androgen excess disorders Ref: Clinical Gynecologic Endocrinology and Infeility; Eigth edition; Chapter 12
Idiopathic hirsutism
PCOD
endometriosis
Adrenal hyperplaia
PCOD, hirsutism and galactorrhea