Investigation | Possible cause of elevation |
---|---|
Indicated in females with signs of hyperandrogenism (hirsutism, irregular menses, androgenetic alopecia), or in patients with poor response to treatment. | |
Total and free testosterone | Polycystic ovarian syndrome |
Rarely, ovarian tumours | |
Serum dehydroepiandosterone (DHEAS) | Adrenal tumour or congenital adrenal hyperplasia |
Lutenising hormone/follicular stimulating hormone (LH/FSH) ratio | Polycystic ovarian syndrome |
17-hydroxyprogesterone | Congenital adrenal hyperplasia |
Prolactin | Hyperprolactinaemia |
24 hour urinary free cortisol | Cushing’s disease or syndrome |