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Ovarian Hyperfunction


Presentation

  • (Oxf) VL - 24 IS - 3 N2 - A 5-year-old girl with the McCune-Albright syndrome presented with precocious puberty secondary to autonomously functioning ovarian cysts, followed by true central puberty.[wwww.unboundmedicine.com]
  • Abstract Diabetic women present an elevated incidence of mestrual disorders often associated with partial gonadotropic insufficiency with reduced LH, E2 and ovarian androgen production.[nature.com]
  • Length of Stay4 DANIEL TOBIAS MD - Quality Score 5 DANIEL TOBIAS MD - Number of Services 1Patient Risk Rate0.22Patient Severity rate0undefinedundefinedLikelihood of an associated diagnosis being present during this visit:Depressive disorder, not elsewhere[mdguna.com]
  • Three girls presented recurrent autonomous ovarian cysts ( Table 2 ) and are described below in more detail. Patient No. 2 presented three episodes of precocious pseudopuberty at the age of 6, 7, and 7.7 years.[hormones.gr]
  • They are considered the main sex hormones in women and are present in small quantities in men.[ultalabtests.com]
Sleep Apnea
  • apnea (adult)(pediatric): 50%Coronary atherosclerosis of native coronary artery: 50%Hypertrophic obstructive cardiomyopathy: 50%Asthma, unspecified type, unspecified: 50%Osteoporosis, unspecified: 50%Likelihood of associated diagnosis that may result[mdguna.com]
Jaundice
  • Renal tubular disorders and renal stone disease 168 Clinical biochemistry of nutrition 180 Nutritional disorders and their management 200 Clinical biochemistry of the gastrointestinal tract 214 Assessment of hepatic function and investigation of jaundice[books.google.com]
  • Hepatic abnormalities range from mild elevation of hepatic transaminases to severe neonatal jaundice and chronic cholestasis. Although some liver biopsies appear normal, others reveal mild biliary abnormalities or fatty liver.[emedicine.medscape.com]
Advanced Bone Age
  • There was no advanced bone age nor accelerated height velocity. She was regularly monitored at paediatric endocrinology consultation, without recurrent menorrhagia, there was regression of thelarche, associated with involution of the ovarian cyst.[revistas.rcaap.pt]
  • We started treating the third girl with a GnRH agonist after the second relapse of the autonomous ovarian cyst because of rapidly advancing bone age.[hormones.gr]

Workup

  • Diagnosis is challenging, but an initial workup includes cortisol and dexamethasone suppression testing.[arupconsult.com]
  • Diagnostic imaging modalities that may be considered include plain radiography, ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI), and radionuclide bone scanning (as clinically indicated) (see Workup).[emedicine.medscape.com]
Androgens Decreased
  • Androgens decrease it. Thus lack of estrogens can effectively increase available blood androgens.[wdxcyber.com]
Polyps
  • Other ovarian hyperfunction: 50%Other specified endocrine disorders: 50%Intestinal disaccharidase deficiencies and disaccharide malabsorption: 50%Iron deficiency anemia, unspecified: 50%Peritoneal adhesions (postoperative) (postinfection): 50%Mucous polyp[mdguna.com]
  • Upper gastrointestinal polyps are now identified in association with MAS, with the typical hamartomatous appearance similar to Peutz Jegher syndrome polyps.[atlasgeneticsoncology.org]
  • GI abnormalities in the study’s seven patients included gastric heterotopia/metaplasia, gastric hyperplastic polyps, fundic gland polyps, and a hamartomatous polyp, with endoscopic ultrasonographic findings in the pancreas suggesting the presence of intraductal[emedicine.medscape.com]

Treatment

  • The aim of this study was to evaluate ovarian function in 10 females with MAS (age 11.4-20.1 years) to detect the persistence of autonomous ovarian hyperfunction throughout and following adolescence, after at least 1 year wash out of any treatment for[ncbi.nlm.nih.gov]
  • The close examination carried out during fertility treatment results in early detection and treatment of ectopic pregnancies. Miscarriage : 10 - 15 % of all pregnancies end in miscarriage.[vivaneo-ivf.com]
  • Regardless of the etiology, there currently is no effective treatment that will be likely to result in a pregnancy (with her own eggs) for premature ovarian failure. Egg donation is a highly successful treatment (see below).[advancedfertility.com]
  • Treatment may be medical, surgical, or by irradiation, depending on the nature of the disorder. See Ch. 25, , for fuller treatment of ovarian and other disorders affecting women.[faqs.org]
  • While treatment of central precocious puberty usually requires a GnRH agonist, in general no treatment is necessary for precocious pseudopuberty due to autonomous ovarian cysts.[hormones.gr]

Prognosis

  • The prognosis is generally good Who gets Ovarian Hypofunction? (Age and Sex Distribution) Ovarian Hypofunction affects nearly 1% of all female population of childbearing age, before the age of 40 years.[dovemed.com]
  • Thus, the prognosis varies according to the manifestations of MAS. With precocious puberty, the prognosis depends on the duration of premature estrogen exposure.[emedicine.medscape.com]
  • Therefore, the prognosis is not as favorable since it’s more difficult to treat ovarian cancer in its later stages.[fortherecordmag.com]
  • Prognosis Morbidity is most commonly related to complications of polyostotic fibrous dysplasia and the need for orthopaedic intervention.[atlasgeneticsoncology.org]

Etiology

  • The first goal of this study is to identify any possible contributions of the BAH phenotypes and genotypes to the pathophysiology of PCOS, a yet unknown factor in the etiology of this multifaceted disorder.[clinicaltrials.gov]
  • Regardless of the etiology, patients with primary ovarian insufficiency are estrogen deficient.[acog.org]
  • Regardless of the etiology, there currently is no effective treatment that will be likely to result in a pregnancy (with her own eggs) for premature ovarian failure. Egg donation is a highly successful treatment (see below).[advancedfertility.com]
  • (Etiology) Majority of the time, the cause of Ovarian Hypofunction is unknown.[dovemed.com]
  • Etiology MAS is caused by a sporadic, early postzygotic somatic mutation in the GNAS1 gene at locus 20q13.1-13.2, coding for the G protein subunit Gs alpha. [22] This genetic finding has been noted and confirmed in various tissue specimens from patients[emedicine.medscape.com]

Epidemiology

  • Epidemiology United States and international statistics The exact incidence of MAS in the United States and internationally is unknown, but its prevalence is probably between 1 case in 100,000 population and 1 case in 1 million population, rendering it[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • […] biochemistry of nutrition 180 Nutritional disorders and their management 200 Clinical biochemistry of the gastrointestinal tract 214 Assessment of hepatic function and investigation of jaundice 231 Acute and chronic liver disease 250 Glucose metabolism and the pathophysiology[books.google.de]
  • The first goal of this study is to identify any possible contributions of the BAH phenotypes and genotypes to the pathophysiology of PCOS, a yet unknown factor in the etiology of this multifaceted disorder.[clinicaltrials.gov]
  • Hypophosphatemia causes rickets and short stature; the pathophysiology of hypophosphatemic rickets, as well as the need for long-term therapy with calcitriol and phosphorus supplementation in these cases, increases the risk of nephrocalcinosis and loss[emedicine.medscape.com]
  • Gsalpha expression from the maternal allele will result in pathophysiological abnormality in tissues where that allele is expressed, but paternally expressed GNAS alleles may also result in endocrine dysfunction.[atlasgeneticsoncology.org]

Prevention

  • Succinct, targeted coverage of normal childhood growth and development, as well as the diagnosis, management, and prevention of common pediatric diseases and disorders, make this an ideal medical reference book for students, pediatric residents, nurse[books.google.com]
  • Presently, Ovarian Hypofunction is a condition that cannot be prevented in most cases.[dovemed.com]
  • Treatment Estrogen therapy often helps relieve menopausal symptoms and prevents bone loss. However, it will not increase your chances of becoming pregnant. Less than 1 in 10 women with ovarian hypofunction will be able to get pregnant.[coordinatedhealth.com]
  • In such cases, a further loss of height potential can be prevented by treatment with a GnRH agonist, but further relapses of the autonomous ovarian cyst cannot be prevented by such intervention. REFERENCES 1.[hormones.gr]
  • Estrogen therapy often helps relieve menopausal symptoms and prevents bone loss. However, it will not increase your chances of becoming pregnant. Fewer than 1 in 10 women with this condition will be able to get pregnant.[medlineplus.gov]

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