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Gynaecology & Obstetrics Polycystic Ovarian Syndrome 917d7923

A 20 yrs old young girl, presents with history of rapidly developing hirsutism and Amenorrhea with change in voice. To establish a diagnosis you would like to proceed with which of the following tests in blood:

A
17-OH progesterone
B
DHEA
C
Testosterone
D
LH +FSH estimation
High-Yield Explanation
Rapidly' progressing hirsutism points to developing androgen secreting tumors, which could be a Leydig seoli tumor of the ovary. For which estimation of androgens specifically serum testosterone should be an initial investigation along with a pelvic scan A 17 OH progesterone should be estimated as well to rule out a late onset Congenital adrenal hyperplasia.

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