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Gynecology - Virilization
Polycystic Ovarian Syndrome (PCOS) Mechanism
Hyperinsulinemia Increases GnRH Pulse Frequency
Large Increase in LH
Small Decrease in FSH
Increased Androgen Production From Theca-Lutein Cells
Polycystic Ovarian Syndrome (PCOS) Symptoms and Diagnosis
Most Common Cause of Infertility in Women
Enlarged, Cystic Ovaries
LH:FSH Ratio of 3:1
"String of Pearls" on Ultrasound
Polycystic Ovarian Syndrome (PCOS) Treatment
Cyclic Progesterone for Endometrial Protection
21 Hydroxylase Deficiency
Increased 17 Hydroxyprogesterone
Signs and Symptoms
11 Beta-Hydroxylase Deficiency
Increased Sex Hormones
Increased 11 Deoxycorticosterone (11 DOC)
Signs and Symptoms
17 Alpha Hydroxylase Deficiency
Decreased Sex Hormones
Increased Mineralocorticoids (DOC)
XY Externally Phenotypic Female
No Internal Reproductive Structures Due to Mullerian Inhibitory Factor
XX Externally Phenotypic Female
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