Snapshot A 31-year-old G0 woman presents with difficulty becoming pregnant. She reports trying to conceive a child for over a year; however, she has not been successful. Past medical history is significant for type 2 diabetes mellitus and obesity. On physical exam, there is acne and hair on the upper lip and chin. There is also acanthosis nigricans in the posterior neck. Blood tests reveal an elevated free testosterone level and LH:FSH of 3. Introduction Endocrinopathy that can result in login to view 9 more bullets Pathogenesis login to view 3 more bullets Epidemiology login to view 2 more bullets Presentation Symptoms login to view 5 more bullets Physical exam login to view 5 more bullets Evaluation Laboratory testing login to view 2 more bullets Pelvic ultrasound login to view 1 more bullet Differential Cushing syndrome Non-classical congenital adrenal hyperplasia Androgen-secreting tumor Pregnancy Premature ovarian failure Thyroid disease login to view 1 more bullet Prolactinoma Treatment Medical therapy login to view 14 more bullets Complications Complications login to view 3 more bullets