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A thorough diagnostic process and teamwork are crucial for managing complex hyperandrogenism in postmenopausal women.

A postmenopausal woman's hormone imbalance and symptoms improved after removing benign ovarian tumors.

Rare ovarian tumors can cause hyperandrogenism, even if imaging appears normal.

Rare ovarian tumors can cause hyperandrogenism, even if imaging appears normal.

Bilateral salpingo-oophorectomy resolved hyperandrogenism in a postmenopausal woman with rare ovarian tumors.