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Irregular periods, androgenic alopecia (hair thinning on the entrance of the scalp), or extreme facial or body hair (hirsutism). Pimples resistant to conventional treatment (including oral antibiotics), or there is a speedy relapse after a course of oral isotretinoin. Luteinizing hormone/follicle-stimulating hormone (LH/FSH) ratio — may be altered in PCOS, with elevated LH. Serum dehydroepiandrosterone (DHEA) — elevated ranges might indicate adrenal tumour or congenital adrenal hyperplasia. Attainable causes or aggravating factors (for example occupational publicity to halogenated hydrocarbons). Average acne consists of a mix of non-inflammatory comedones and inflammatory papules and pustules.

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