Takeisha, if you have LOCAH you may well have PCOS as well... so a couple of questions:

How do you know you do not have cysts on your ovaries? Have you had a scan or other imaging of the ovaries?

Do you know what type of test/s the doctor did two years ago? Do you know the results? Can you access these results?

When you went to see the endo, did she do further tests? Which ones did she do? Did she do the ACTH stimulation (Cortrosyn or Synacthen) test? This involves taking a blood sample then injecting you, into either your muscle or vein, with synthetic ACTH then taking a follow-up blood sample 30 minutes later and possibly 1 hour later for comparison. The things they should be looking for in this test if testing for LOCAH are: 17-hydroxyprogesterone levels, cortisol, testosterone, androstenedione and possibly DHEA.

I may be wrong but I am not aware that PCOS causes EARLY puberty, but LOCAH can - please correct me someone if I am wrong on this!!

The male features also concern me. When you say this do you mean muscle, extra body/facial hair, or your facial features are masculine or clitoral enlargement etc?

To continue laser treatments while not tackling the cause of the problems may be futile if you have excessive androgens. It’s more important to find the root cause and then once stabilised on any treatment for that, then resume your laser therapy.

You need a definitive diagnosis. You cannot go on as you are.

It’s possible you may have 1). PCOS   2). LOCAH   3). Both LOCAH and PCOS.