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 :: (A) Idiopathic hirsutism, (B) PCOD, (C) endometriosis, (D) Adrenal hyperplaia
Answer is B. 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