Abstract
Background
A mild degree of clitoromegaly can be associated with patients with polycystic ovarian
syndrome (PCOS). We describe an unusually significant clitoromegaly in a patient with
PCOS.
Case
An 18-year-old nonobese female patient was referred for clitoromegaly. Her genitalia
exam showed significant clitoral enlargement with a well-formed glans, clitoris measured
at 35 mm for length and 10 mm for width. Pelvic ultrasound showed a left ovarian cyst.
Her testosterone level ranged from 28.8 to 64.1 ng/dL (normal: 8.4-48.1 ng/dL) with
normal sex hormone binding globulin. Other ovarian hormones were in acceptable ranges.
Summary and Conclusion
This case demonstrates the coexistence of significant clitoromegaly, PCOS, and nonfunctioning
ovarian cyst.
Key Words
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Article info
Publication history
Published online: May 03, 2018
Footnotes
The authors indicate no conflicts of interest.
Identification
Copyright
© 2018 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.
