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CASE REPORT
Year : 2016  |  Volume : 7  |  Issue : 4  |  Page : 189-192

Postmenopausal hyperandrogenism of ovarian origin: A clinicopathologic study of five cases


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
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0976-7800.195699

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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.


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