Case Presentation Androgen producing Ovarian Tumor

Present illness

a 45-year-old woman with chief complaint of hirsutism and menstural disorders came to clinic .

She had secondary oligoamenorrhea from 6 years ago, at first she had oligomenorrha and then it stopped for 1/5 years.

 she started treatment with LD from 4 years ago and the mensturations were regular until 8 months ago, that she had menometrorrhagia . she stopped using LD for one month and then started again until 3 months ago that stopped  and didn’t have mensturation after that.

 She mentioned hirsutism from two years ago that

 progressed  specialy in chin.

She also complained about skin darkening specially in axilla and neck , weight gain(30 Kg during 2 years), hair loss(temporal) and acne.

She mentioned increased libido  , but no deepening of  voice and change in breast size. She didn’t have galactorrhea , easy bruising, headache or visual impairment.

 and at 98/8/26 she admitted for more evaluation