Case 2-Hirsutism

Prepared by Jad Sfeir, Caroline Davidge-Pitts, Ritu Madan

Case 2

A 28-year-old otherwise healthy female presents to the office accompanied by her mother and boyfriend for evaluation of hirsutism and amenorrhea for last 4 years.

She reports having had some mildly coarse hair over face and trunk since her teens. Four years ago, however, she developed increased hair growth over her face, arms and legs. She is shaving daily now. She has also developed hair loss on her scalp and notes  acne on her face and back.


Question 1

What is the most common cause of hirsutism in this age group?

1. Nonclassic CAH

2. PCOS

3. Ovarian and Adrenal tumors

4. Idiopathic hirsutism