The article discusses the case of a 30-year-old female patient with progressive hair loss. She has a history of end-stage renal disease, hypertension, anemia and secondary hyperparathyroidism. The presence of alopecia, amenorrhea and hirsutism all indicate an androgen excess that is confirmed by hormonal evaluation. A diagnosis of polycystic ovary syndrome is made because of the presence of anovulation and hyperandrogenaemia.