Ovarian cysts and tumors Quiz: Ace Your Exams
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A 25-year-old woman comes to the clinic due to increased facial hair growth. The patient states that over the past 6 months, hair started growing on her face and abdomen. She also describes mild pelvic discomfort that has minimal impact on her daily routine. Medical history is notable for a chlamydia infection at age 20, which was managed with antibiotics, and asthma, for which the patient takes albuterol and inhaled corticosteroids. She is sexually active with her partner of 6 months and uses condoms for contraception. The patient’s last Pap smear 6 months ago was normal. Menstrual cycles occur at regular 28 days intervals and last for 3 days of mild flow. Vitals are within normal limits. BMI is 30 kg/m2. Physical examination shows coarse dark hair on the chin and abdomen. On vaginal examination, clitoromegaly is noted. Which of the following is the most likely etiology?
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