A 35-Year-Old Nulliparous Woman Comes to the Office Because They

A 35-year-old nulliparous woman comes to the office because they failed to concive with her partner for 2 years. They have been married for 10 years. Menarche was at age 12, and her menstrual cycles occur 2-3 times per year and last 7-10 days. The patient does not use tobacco, alcohol, or illicit drugs. Her blood pressure is 127/83mm Hg and pulse is 85/min. BMI is 36 kg/m2. Physical examination shows mild acne and hair growth on the upper lip and chin. This patient is at greatest risk for which of the following complications?

A) Adrenal atrophy
B) Cushing syndrome
C) Diabetes mellitus, type 1
D) Endometrial carcinoma
E) Vaginal adenosis