Answer 4 PCOS. The clinical phenotype of PCOS is the result of hyperandrogenism resulting in hirsutism. Signs of hyperandrogenism that overlap with Cushing’s syndrome include hirsutism, obesity, acne, glucose intolerance, menstrual dysfunction, and hypertension. An increased LH/FSH ratio (> 2.5 to 1) is the classic pattern associated with PCOS, although this is not diagnostic. Ultrasound imaging of the ovaries that demonstrates polycystic (multifollicular) ovaries would provide further support for the diagnosis. Click here to return to the questions
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