Question category: Endocrinology
A 19 year old female presents with irregular periods to her GP. You notice she is overweight and has acne. She admits that she has to regularly bleach her upper lip hair and has a line of hair from her umbilicus to her pubic hair which she is embarrassed about. Her bloods reveal an elevated LH:FSH ratio and testosterone is at the high end of normal and sex hormone binding globulin is low. Her fasting glucose is 6.2. What Is the most likely diagnosis?