HY USMLE Q #1423 – Repro

A 31-year-old woman comes to the physician for a 1-year history of inability to get pregnant with her partner. He has two children from a prior relationship. Past medical history is unremarkable. Physical examination shows mild hair growth over the upper lip and facial acne, as well as comedones on the upper back. BMI is 30. Which of the following is most likely to be seen in this patient?

A) Decreased endometrial glandular length
B) Diminution of serum luteinizing hormone
C) Increased endometrial simple columnar cell number
D) Increased luteal progesterone
E) Increased rate of Graafian follicular rupture