Question

question 17
1 pt
a young adult woman is unable to conceive after trying to get pregnant for over 6 months. the woman reports having had irregular periods since the onset of menarche. the provider notes that the woman is overweight, has acanthosis nigricans, and an excess hair distribution. what does the provider suspect as the most likely primary cause of these symptoms?
○ congenital adrenal hyperplasia
○ cushings syndrome
● polycystic ovary syndrome (pcos)
○ type 2 diabetes
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Explanation:

Polycystic ovary syndrome (PCOS) is a common endocrine disorder in women of reproductive age. Key symptoms include irregular menstrual cycles (as the woman has had since menarche), infertility (she is unable to conceive), obesity, acanthosis nigricans (a skin condition often associated with insulin resistance which is common in PCOS), and hirsutism (excess hair distribution). Congenital adrenal hyperplasia usually presents with more severe hormonal imbalances at an earlier age (often in infancy or childhood in terms of genital ambiguity etc.). Cushing's syndrome is due to excess cortisol and presents with central obesity, moon face, striae etc. Type 2 diabetes alone would not typically explain all these symptoms (infertility, irregular periods, hirsutism) as comprehensively as PCOS.

Answer:

Polycystic ovary syndrome (PCOS)