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Hirsutism & Virilization

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c) Gonadotropin regulation of the menstrual<br />

cycle is disrupted, leading to oligo-ovulation or<br />

anovulation and menstrual irregularity.<br />

d) Increased androgen levels inhibit follicular<br />

development in the ovary; thus, multiple.<br />

Peripheral, small atretic follicles are produced.<br />

These “polycystic ovaries” are therefore a<br />

reflection of the hormonal environment within<br />

the ovary rather than the cause of the<br />

disorder.<br />

e) Affected patients are at increased risk for<br />

endometrial hyperplasia or cancer, glucose<br />

intolerance, type 2 diabetes mellitus,<br />

hyperlipidemia, and cardiovascular disease.

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