Presentation
All patients with PCOS presented clinical and biochemical evidence of hiperandrogenism with oligoovulation and/or ultrasonographic appearance of polycystic ovaries. [journals.viamedica.pl]
If no criteria of malignancy are present, we should assess if borderline malignancy criteria are applicable. [sciencerepository.org]
Non-classic congenital adrenal hyperplasia (NCAH), caused by several mutations in CYP21A2 (6p21.3) gene, is the most common differential diagnosis for girls presented with symptoms of PCOS. [abstracts.eurospe.org]
The highest concentrations are present in the preoptic area of the hypothalamus. [emedicine.medscape.com]
Our longitudinal study in healthy non-obese, non-hyperandrogenic adolescents between 2 and 4 years postmenarche showed that PCOM is present in 33% of girls at 2, 3 and 4 years postmenarche ( Figure 1, with permission) (43). [scielo.br]
Entire Body System
- Weight Gain
Signs of Cushing's syndrome include muscle weakness, easy bruising, weight gain, male-pattern hair growth ( hirsutism ), colored stretch marks, and an excessively reddish complexion in the face. [23] Cushing's syndrome has been shown to cause androgen [en.wikipedia.org]
Weight gain during adolescence carries a higher risk for early puberty, obesity and estrogen-dependent disease later in life, including polycystic ovary syndrome and breast cancer (62). [scielo.br]
Gastrointestinal
- Overeating
Despite the controversy over the IAAF’s regulations, Michael Beloff, Chair of the IAAF Ethics Board, who has advised both the International Olympic Committee and the IAAF on hyperandrogenism, told Global Insight in a recent interview that they sought [ibanet.org]
For example, only pubic and axillary hair in North American women is tolerated, while other androgen-dependent hair such as growth on the upper lip, over the linea alba, over the thighs, and any periareolar hair is not. [56] Organizations [ edit ] Professional [en.wikipedia.org]
Moreover, the presence of PCOM may change over time in the same patient. [scielo.br]
Androgen excess in women: experience with over 1000 consecutive patients. J Clin Endocrinol Metab. 2004 Feb. 89(2):453-62. [Medline]. Dennedy MC, Smith D, O'Shea D, McKenna TJ. [emedicine.medscape.com]
Changes in glucose tolerance over time in women with polycystic ovary syndrome: a controlled study. [accessmedicina.mhmedical.com]
Cardiovascular
- Hypertension
No history of hypertension or Cushing’s syndrome. [sciencerepository.org]
High testosterone levels have been seen to be associated with obesity, hypertension, amenorrhea (cessation of menstrual cycles), and ovulatory dysfunction, which can lead to infertility. [en.wikipedia.org]
Mortality/Morbidity Androgen excess per se does not cause mortality or morbidity, but it is associated with insulin resistance, dyslipidemia, hypertension, and vascular diseases; [5] therefore, it is a forerunner of cardiovascular disease. [emedicine.medscape.com]
Skin
- Alopecia
Androgenetic alopecia - Current Status. lndian J Dermatol 2005; 50(4):179-190. [revista.asocolderma.org.co]
Alopecia is very uncommon in the pediatric popu-lation. A recent retrospective series of 438 pediatric patients (boys and girls) demonstrated that androgenetic alopecia (AGA) is the cause of alopecia in 13% of children and 42% of adolescents. [scielo.br]
Hyperandrogenism can lead to any or all of the following: Seborrhoea (oily skin) Acne Hidradenitis suppurativa Hirsutism Female pattern balding ( alopecia ) Male pattern balding in females Irregular menstruation Masculine appearance with increased muscle [dermnetnz.org]
In 60% of women, this may produce an increase in body hair (hirsutis), alopecia or acne. Although in most cases the diagnosis is made by evaluating these signs, a specific test may sometimes be carried out to determine the level of male hormones. [fertilityroad.com]
The more prominent signs of hyperandrogenism are hirsutism (unwanted growth of hair especially in the abdominal region and places on the back), acne after adolescence, deepening of voice, and alopecia (balding). [10] Hyperandrogenism has also been seen [en.wikipedia.org]
- Acne Vulgaris
Sebum production from the PSU is also increased by androgens. [21] Acne vulgaris can be aggravated or initiated by increased androgen levels as the excess sebum production and the shedding of hyperkeratinized epithelium may occlude the hair follicle. [emedicine.medscape.com]
Am J Med 111:607, 2001 [PubMed: 11755503] Leyden J, Thiboutot DM, Shalita AR, et al.: Comparison of tazarotene and minocycline maintenance therapies in acne vulgaris: a multicenter, double-blind, randomized, parallel-group study. [accessmedicina.mhmedical.com]
Workup
Biochemical workup showed high levels of dehydroepiandrosterone (DHEA) [above 1000mcg/dl] together with high levels of testosterone [1.7ng/ml]. [sciencerepository.org]
Serum
- Hyperinsulinemia
The result of such an overproduction is a disorder called hyperinsulinemia. [en.wikipedia.org]
Polycystic ovary syndrome is a metabolic disorder characterised by a resistance to the action of insulin (the hormone responsible for metabolising sugars within cells) and an increase in its concentration (hyperinsulinemia). [fertilityroad.com]
A direct effect of hyperinsulinemia on serum sex hormone-binding globulin levels in obese women with the polycystic ovary syndrome. J Clin Endocrinol Metab. 1991 Jan. 72(1):83-9. [Medline]. [emedicine.medscape.com]
Arch Med Res 25:311, 1994 [PubMed: 7803980] Nagamani M, Dinh TV, Kelver ME: Hyperinsulinemia in hyperthecosis of the ovaries. [accessmedicina.mhmedical.com]
Treatment
In most cases the tumors display no symptoms and require no treatment. [en.wikipedia.org]
Customised treatment Treatment of PCOS must be individualised and sometimes involves several specialists, such as a gynaecologist, endocrinologist, dermatologist or nutritionist. [fertilityroad.com]
Evaluation and treatment of hirsutism in premenopausal women: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2008 Apr. 93(4):1105-20. [Medline]. The evaluation and treatment of androgen excess. [emedicine.medscape.com]
The drugs involved in the treatment, the mechanism of action and the collateral effects are analyzed. [scielo.conicyt.cl]
Adrenalectomy is the standard of treatment, and laparoscopy should be performed when there is no evidence of malignancy [2, 7]. [sciencerepository.org]
Prognosis
Benign OAN has a relatively good prognosis after surgery, but malignant OAN have a survival rate of only 35-50% depending on the invasion rate Borderlin OAN prognosis is uncertain [3, 5]. [sciencerepository.org]
Etiology
Finally, the ovary etiology of hyperandrogenism was confirmed. This case report is an example of difficulties in recognition the etiology of hyperandrogenism. [wwww.unboundmedicine.com]
Finally, the ovary etiology of hyperandrogenism was confirmed. This case report is an example of difficulties in recognition the etiology of hyperandrogenism. Read this article (multiple options) Comments Related Papers [read.qxmd.com]
Hirsutism: implications, etiology, and management. [accessmedicina.mhmedical.com]
Hirsutism: implications, etiology, and management. Am J Obstet Gynecol. 1981;140(7):815-30. [ Links ] 17. Welt CK, Arason G, Gudmundsson JA, Adams J, Palsdottir H, Gudlaugsdottir G, et al. [scielo.br]
Epidemiology
Epidemiology, diagnosis and management of hirsutism: a consensus statement by the Androgen Excess and Polycystic Ovary Syndrome Society. [accessmedicina.mhmedical.com]
In premenopausal women, polycystic ovary syndrome was the primary cause of severe DHEAS excess. [24] Epidemiology Frequency United States The prevalence of androgen excess is 8%. [emedicine.medscape.com]
Pathophysiology
Hyperandrogenism, insulin resistance, and acanthosis nigricans syndrome: a common endocrinopathy with distinct pathophysiologic features. Am J Obstet Gynecol. 1983 Sep 1. 147(1):90-101. [Medline]. Legro RS. [emedicine.medscape.com]
Polycystic ovarian morphology with regular ovulatory cycles: insights into the pathophysiology of polycystic ovarian syndrome. J Clin Endocrinol Metab. 2004;89(9):4343-50. [ Links ] 52. Pigny P, Jonard S, Robert Y, Dewailly D. [scielo.br]
Am J Obstet Gynecol 194: 1266, 2006 [PubMed: 16647909] Barbieri RL, Ryan KJ: Hyperandrogenism, insulin resistance, and acanthosis nigricans syndrome: a common endocrinopathy with distinct pathophysiologic features. [accessmedicina.mhmedical.com]
Prevention
[…] able to find a sufficient method of prevention. [33] However, there are a few things that can help avoid long-term medical issues related to hyperandrogenism like PCOS. [en.wikipedia.org]
She was subsequently prevented from competing while she underwent gender testing and was subjected to intense media scrutiny. [ibanet.org]
Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 346:393, 2002 [PubMed: 11832527] Krowchuk DP: Managing adolescent acne: a guide for pediatricians. [accessmedicina.mhmedical.com]
A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995 Feb 1. 273(5):402-7. [Medline]. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. [emedicine.medscape.com]