A 24-year-old unmarried woman from Delhi presents with amenorrhea for 8 months and progressive weight gain over 2 years. On examination: BMI 28 kg/m², hirsutism (Ferriman–Gallwey score 12), acne, and acanthosis nigricans. Pelvic ultrasound shows bilateral polycystic ovaries. Serum LH:FSH ratio is 3.2:1, fasting insulin 18 mIU/L, and fasting glucose 92 mg/dL. What is the most appropriate next step in management?
A 28-year-old woman with irregular menses and hirsutism is found to have polycystic ovaries on ultrasound. Her FSH is 5 mIU/mL and LH is 18 mIU/mL. Which single finding best distinguishes PCOD from other causes of hyperandrogenism such as Cushing syndrome and androgen-secreting tumours?
A 32-year-old woman with confirmed PCOD presents with secondary infertility for 3 years. Baseline hormonal workup shows normal prolactin and TSH. Transvaginal ultrasound confirms polycystic ovaries. She has been on metformin for 6 months without ovulation. What is the most appropriate next investigation to assess ovulatory status before proceeding to ovulation induction?
A 24-year-old woman presents with irregular menstrual cycles, hirsutism, and acne for the past 3 years. Pelvic ultrasound shows bilateral ovarian cysts. What is the most common endocrine abnormality found in polycystic ovarian disease?
According to the Rotterdam criteria, which two of the following three features are required for the diagnosis of polycystic ovary disease?
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