Bilateral Leydig Cell Hyperplasia: A Rare Cause of Postmenopausal Hirsutism

Table 1

Relevant hormonal evaluation of the patient.

Investigation	Value	Reference range
Total testosterone	123 ng/dL	14–76 (adult female)
FSH	31.92 IU/L	23–116.3 (postmenopausal)
LH	26.33 IU/L	15.9–54 (postmenopausal)
Prolactin	5.8 mU/L	48–430 (postmenopausal)
9.00 am cortisol (ODST)	24 nmol/L	<50
DHEAS	1 μmol/L	0.8–4.9
17-OHP	5.8 nmol/L	<6 excludes 21OHD
SHBG	53.3 mmol/L	13.5–71.4

FSH: follicle-stimulating hormone; LH: luteinizing hormone; ODST: overnight dexamethasone suppression test; DHEAS: dehydroepiandrosterone sulphate; 17-OHP: 17-hydroxyprogesterone; SHBG: sex hormone binding globulin, 21OHD: 21–hydroxylase deficiency.