Polycystic ovary syndrome (PCOS) Quiz: Ace Your Exams

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A 34-year-old woman, gravida 2, para 2, presents to the clinic with irregular menstrual cycles and undesired hair growth on the face. Previously, her menstrual period occurred once every 25 to 35 days. Over the past eight months, however, menstruation has become more irregular with cycles ranging from 20 to 74 days in length. Additionally, although she has always tweezed soft hairs off her upper lip, she has noticed a significant increase in coarse hair on her upper lip and chin. Past medical history is notable for two uncomplicated vaginal deliveries 3 and 5 years ago. A urine pregnancy test in clinic is negative. Which of the following findings would go against the most likely diagnosis based on history? 

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