Abstract
Virilization in a pre or post menopausal woman is a Dx & Rx challenge when imaging fails to reveal the source of markedly elevated T levels. Literature on ovarian hyperthecosis reveals most patients have insulin resistance (IR). We present two women with presumed ovarian hyperandrogenism using M as a Dx maneuver to differentiate elevated T from a tumor vs. from IR and resultant ovarian T over-production.
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