Hi, Thanks for your question. I would like to find out other causes of raised serum testosterone first, like exogenous intake of testosterone; may be excessive or unsupervised use of some hormonal products. So, drug history should be in detail as many herbal remedies may create such pictures. After that I would like to involve an endocrinologist to treat her thyroid deficiency & to give some expert opinion. Tests like doppler ultrasound, CT scan, MRI may provide helpful clues to rule out any pathology from ovaries. I think the doctors should look for other rare sites for hormone producing tumors ( carcinoid tumors). Her history & systemic review is likely to be extremely helpful. I don t think jumping to such a major surgery without a former diagnosis is justifiable. Hope this is a helpful answer for you. Best wishes.