These criteria require that both of the following conditions be present: Abnormal uterine bleeding pattern (abnormal for age or gynecologic age or symptoms that persist for 1 to 2 years) Evidence of hyperandrogenism (based on persistently elevated testosterone levels above adult norms [the best evidence], moderate-to-severe hirsutism, or moderate-to-severe inflammatory acne vulgaris as an indication to test for hyperandrogenemia) Often, a 17 - hydroxyprogesterone test is also done to screen adolescents for nonclassic congenital adrenal hyperplasia.