| CASE REPORT |
|
| Year : 2016 | Volume
: 7
| Issue : 4 | Page : 189-192 |
|
|
Postmenopausal hyperandrogenism of ovarian origin: A clinicopathologic study of five cases
S Ajith, George Beena, Nitu Mariam Mathew, EK Omana
Department of Obstetrics and Gynaecology, Academy of Medical Sciences, Pariyaram, Kannur, Kerala, India
Correspondence Address:
S Ajith
Department of Obstetrics and Gynaecology, Academy of Medical Sciences, Pariyaram, Kannur - 670 503, Kerala
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0976-7800.195699
|
|
|
In postmenopausal women presenting with virilization and elevated testosterone levels, laparoscopic salpingo-oophorectomy should be considered after exclusion of adrenal causes. A clinicopathological study was conducted among those women who presented with features of hyperandrogenism in our postmenopausal clinic over a period of 2 years. Relevant past medical and surgical histories were elicited. Basic hormonal evaluation and radiological imaging were done. Laparoscopic bilateral salpingo-oophorectomy was done. Six weeks postoperatively, serum testosterone was undetectable with significant clinical improvement. There was no recurrence of symptoms during the follow-up period of 2 years. Treatment of postmenopausal women with hyperandrogenism and virilization with laparoscopic bilateral salpingo-oophorectomy is effective if she has no pronounced ovarian enlargement or adrenal tumor on imaging. An extensive endocrine testing and a detailed search for metastatic disease may be unnecessary. |
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
