Diagnosis of Adrenal Virilism Testosterone Other adrenal androgens (dehydroepiandrosterone [DHEA] and its sulfate [DHEAS], androstenedione) 17 - hydroxyprogesterone Dexamethasone suppression test Sometimes adrenocorticotropic hormone (ACTH) stimulation test Adrenal imaging Adrenal virilism is suspected clinically, although mild hirsutism and virilization with hypomenorrhea and elevated plasma testosterone may also occur in polycystic ovary syndrome (Stein-Leventhal syndrome).