<prompt> A obese female having hirsutism on laboratory investigation has high level of LH and androgens. Likely cause is-PCOSExogenous steroid ingestionTurner syndromeKleinfelter syndrome  <response>: Ans. is a i.e., PCOS o The clinical and laboratory features of the patient described in the question match with those of PCOS as depicted in the table. So the most appropriate answer is PCOS.Clinical features of polycystic ovarian diseaseClinical featureHannonalSequelaeo Young womano E2. levelo Diabaetes 15o Central obesityo FSH LH 10 IUmlo CVS disorder SMI 30kgcm2o FSKLH ratioo Lipidaemia Waist line 35o Androgenso Hypertensiono Gligomenorrhoea, amenorrhoeao Testosterone,epiandrostenedione. dehydropepiandrosterone o Endometrial cancero Infertility 20o Breast cancero Hirsutismo Premature ovariano Acanthosis nigra due to insulin resistance, Thick pigmented skin over the nape of neck, inner thigh and axillao 17-alpha-hvdroxy progesterone 800 ng.dLfailure following surgeryo Testosterone 2 ngmlo Most androgens from ovaryo fasting insulin l0mluLo Protactin o Sex hormone binding globulin SHBGo E2oestrone E1 ratioo F glucose,insulin ratio 4-5 normal 2-4-4-5 