Female Hyperandrogenism

Question 0

Excess growth of male-pattern, pigmented terminal hairs on body midline

Answer 0

Hirsutism

Question 1

Markers of androgen production in these origins
Ovary
Adrenal gland
Peripheral conversion

Answer 1

Testosterone
DHEA-S
3a-diol-G

Question 2

Excess male pattern hair
Inc muscle mass
Clitoromegaly
Temporal balding
Deepening of voice

Answer 2

Virilization

Question 3

Excess of nonsexual hair

Answer 3

Hypertrichosis

Question 4

Hyperamdrogenism

Answer 4

Inc free androgen

Inc 5 reductase

Question 5

Inc free androgen

Answer 5

Ovary

Adrenal gland

Question 6

Ovarian production of androgen
Gradual onset
Infertility anovulation obesity
Inc DHT

Answer 6

PCOS

OCP

Question 7

Ovarian production of androgen
Rapid
Unilateral pelvic mass with virilization
Inc DHT

Answer 7

Androgen producing tumors like Sertoli Leydig cell

Surgical removal

Question 8

Adrenal production of androgens

Most common

Answer 8

Androgen producing tumors

Question 9

Adrenal production of androgens
Premature pubarche acne accelerated bone age menstrual irregularity
Elevated 17OHP

Answer 9

Late onset CAH

Glucocorticoid

Question 10

Adrenal production of androgens
Inc ACTH
Inc glucocorticoid and androgen

Answer 10

Cushing’s disease

Surgical

Question 11

Inc 5a reductase enzyme
N testosterone DHEAS 17OHP
Mediterranean

Answer 11

Hair follicle androgen sensitivity

Spironolactone