| Otherwise unexplained combination of: |
| 1. Abnormal menstrual pattern as evidence of ovulatory dysfunction |
| a. Abnormal for age or gynecologic age, and |
| b. Persistent symptoms for 1 to 2 years |
| 2. Clinical and/or biochemical evidence of hyperandrogenism |
| a. Hirsutism, especially if moderate to severe, is clinical evidence of hyperandrogenism |
| b. Elevation of serum total or free testosterone by a specialty reference assay is biochemical evidence of hyperandrogenism |
