Acne, especially over the face, neck, back and chest.
 Degree, pattern and severity of hirsutism.
 Acanthosis nigricans (velvety skin hyperpigmentation), associated with insulin resistance.
 Deepened voice.
 Male pattern balding.
 Breast atrophy.
 Clitoromegaly.
 Loss of normal feminine body shape.
 Height, weight, and body mass index.
 Distribution and extent of adiposity.
 Skin thinning or bruising (seen in Cushing’s syndrome).

Source:

Meek CL, Bravis V, Don A, Kaplan F. Polycystic ovary syndrome and the differential diagnosis of hyperandrogenism. The Obstetrician & Gynaecologist 2013;15:171–6. https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1111/tog.12030

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