Recall appropriate initial evaluation of hirsutism without virilization.

Explanation:

Anyone with normal menses most likely has normal testosterone and the most likely diagnosis in such patients is idiopathic hirsutism but has to be a diagnosis of exclusion. If menses are abnormal, check LH/FSH aiming for a diagnosis of PCOD(Polycystic ovarian disease - ratio > or = 2). If PCOD is diagnosed then also check for insulin resistance by checking fasting Insulin and glucose levels as insulin resistance is now believed to be the underlying mechanism of PCOD.

Check 17 hydroxy- progesterone after giving ACTH to rule out Late onset adrenal hyperplasia(LOAH).

If virilization is present -check Androstenedione(DHEAS- for adrenal tumor) and testosterone (for ovarian tumor)