Treatment of severe androgen excess due to ovarian hyperthecosis with a long-acting gonadotropin-releasing hormone agonist.

Abstract:

:A 31-year-old nulligravid patient presented with irregular menses, severe hirsutism, and infertility. Evaluation revealed marked increases of serum androstenedione and testosterone levels and a possible ovarian mass. At operation a cystic teratoma was removed from the left ovary and bilateral wedge resection revealed severe ovarian hyperthecosis. After operation only a transient decrease of androstenedione and testosterone was noted and the patient failed to ovulate or improve clinically. Subsequently a long-acting gonadotropin-releasing hormone agonist was administered daily for 6 months, which reduced circulating delta 4-steroids and estrogens to levels approximating those of castrated women. Immediately after discontinuation of treatment, ovulation induction was successfully achieved with human menopausal gonadotropin. This report introduces a new therapeutic approach to the problem of severe ovarian hyperthecosis and may provide an opportunity for childbearing in these patients.

journal_name

Am J Obstet Gynecol

authors

Steingold KA,Judd HL,Nieberg RK,Lu JK,Chang RJ

doi

10.1016/0002-9378(86)90706-4

subject

Has Abstract

pub_date

1986-06-01 00:00:00

pages

1241-8

issue

6

eissn

0002-9378

issn

1097-6868

pii

0002-9378(86)90706-4

journal_volume

154

pub_type

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