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Female Infertility

PCOS with Lean Phenotype

PCOS occurring in women of normal body weight. Often underdiagnosed because the classic overweight presentation is absent, yet anovulation still impairs fertility.

Overview

Overview

PCOS occurring in women of normal body weight. Often underdiagnosed because the classic overweight presentation is absent, yet anovulation still impairs fertility.

Symptoms

Irregular cycles
Hirsutism
Acne
Polycystic ovaries on ultrasound
Elevated LH:FSH ratio

Causes

1
Hormonal dysregulation
2
Genetic factors
3
Low-grade adrenal overactivity

How It's Diagnosed

Hormone panel (LH, FSH, testosterone, AMH)
Pelvic ultrasound
Fasting glucose

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