Otherwise unexplained combination of: |
1. Abnormal menstrual pattern as evidence of ovulatory dysfunction |
a. Abnormal for age or gynecologic age, and |
b. Persistent symptoms for 1 to 2 years |
2. Clinical and/or biochemical evidence of hyperandrogenism |
a. Hirsutism, especially if moderate to severe, is clinical evidence of hyperandrogenism |
b. Elevation of serum total or free testosterone by a specialty reference assay is biochemical evidence of hyperandrogenism |
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