Prevalence of endocrine diseases and abnormal glucose tolerance tests in 340 Caucasian premenopausal women with hirsutism as the referral diagnosis.
Fertil Steril
; 82(6): 1570-9, 2004 Dec.
Article
en En
| MEDLINE
| ID: mdl-15589862
ABSTRACT
OBJECTIVE:
To perform an audit on the examination of hirsute patients and to establish a rational routine examination program in an outpatient endocrine clinic.DESIGN:
Systematic, retrospective audit.SETTING:
Academic tertiary-care medical center. PATIENT(S) Three hundred forty women with hirsutism as the referral diagnosis. INTERVENTION(S) Hormone analyses and ACTH tests during cycle days 2-8, 2 hours of oral glucose tolerance test (OGTT), and vaginal ultrasound. MAIN OUTCOME MEASURE(S) End diagnosis, fasting, 30-, 60-, and 120-minute oral glucose-stimulated levels of insulin and capillary blood glucose. RESULT(S) Two hundred one patients were diagnosed as having idiopathic hirsutism (IH) and 134 as having polycystic ovary syndrome (PCOS). End diagnosis prolactinoma n = 1, Cushing's syndrome n = 1, androgen-producing ovarian tumor n = 1, late-onset 21-hydroxylase defects n = 2. During OGTT, 4.9% (13 of 263) had previously undiagnosed diabetes; no significant difference in diabetes prevalence was found between idiopathic hirsutism and PCOS. For 50.8%, fasting insulin values were in the upper quartile for a reference population. CONCLUSION(S) Initial evaluation of hirsute patients with irregular menses should include serum (s)-17alpha-hydroxyprogesterone, s-prolactin, s-Testosterone (T), and s-sex hormone-binding globulin. Further evaluation is needed in patients with markedly elevated s-T or with clinical Cushing's syndrome. Hirsute patients have a high risk of diabetes, although this could be due to the high number of overweight patients among this population.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Premenopausia
/
Intolerancia a la Glucosa
/
Población Blanca
/
Enfermedades del Sistema Endocrino
/
Hirsutismo
Tipo de estudio:
Diagnostic_studies
/
Prevalence_studies
/
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Fertil Steril
Año:
2004
Tipo del documento:
Article
País de afiliación:
Dinamarca
Pais de publicación:
EEUU
/
ESTADOS UNIDOS
/
ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
/
UNITED STATES OF AMERICA
/
US
/
USA