What is the best treatment of isolated elevated DHEA-S in a woman with clinical androgen excess (without PCOS, neoplasm, etc)?

It is important to rule out hyperprolactinemia as one of the causes of elevated DHEAS levels. We diagnosed a patient with macroprolactinoma who was referred to us for DHEAS elevation.

In my experience, most such patients have either an atypical PCOS or some enzymatic abnormality in their adrenal ste...