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A 56-year-old woman was referred to the hospital because of male-pattern baldness and hirsutism.
The patient's menarche had occurred at the age of 13 years, and her menses were regular in the absence of premenstrual molimina or dysmenorrhea. Her gynecologist, since deceased, told her that she would never have children, although she did not recall his explanation. She was sexually active during much of her married life. She used no contraceptive measures but never conceived. Seven years before entry her menses became less frequent and ceased; she did not have hot flashes.
A year and a half before admission the
Differential Diagnosis
Clinical Diagnosis
Dr. Christopher Longcope's Diagnosis
Pathological Discussion
Anatomical Diagnoses
References
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