If they have also developed oligomenorrhoea and hirsuitism, consider polycystic ovarian syndrome or late onset congenital adrenal hyperplasia.

If they have gained central weight, and developed thinned, bruised or red skin, consider Cushing’s syndrome.

If they have also developed hirsuitism, increased muscle bulk, increased libido or clitoromegaly consider Cushing’s syndrome or a virilising tumour.

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