16th August 2023

A 40-year-old female presents to her GP complaining of excessive tiredness and difficulty losing weight despite trying several diets

A 40-year-old female presents to her GP complaining of excessive tiredness and difficulty losing weight despite trying several diets. She also mentions irregular periods and difficulty getting pregnant. On examination, her BMI is 32, and she has excess hair growth on her face and abdomen.

Which of the following is the most likely diagnosis?