A 28-year-old female reported with a 2-year history of hirsutism, virilization, and amenorrhea. She delivered a child 2 years back with lactation failure. She reported having a mild, intermittent abdominal pain. Any history of gestational hirsutism, drug intake, headache, proximal muscle weakness, striae or galactorrhea was absent.
Physical examination Male body habitus with normal vital signs Temporal recession of hairline, prominent Adam's apple, and atrophy of bilateral mammary gland Her Ferriman–Gallwey score was 30/36. Clitoromegaly with a length of 90 mm and a width of 30 mm was present, with a clitoral index of 2700 mm 2 . Systemic examination revealed no abnormalities. Laboratory findings Normal blood cell count, electrolyte level, renal, and hepatic profile Serum total testosterone level, 699.32 ng/dl (normal <60 ng/dl) Ultrasonography and contrast-enhanced computed tomography…
