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Sobreproducción ovárica de andrógenos - Treatment

Tratamiento:

El tratamiento depende del problema que está ocasionando el aumento en la producción de andrógenos. Se pueden administrar medicamentos para reducir la producción de vello en pacientes que tengan exceso de vello corporal (hirsutismo) o para regular los ciclos menstruales. En algunos casos, es posible que se necesite una cirugía para extirpar un tumor ovárico o suprarrenal.

Expectativas (pronóstico):

El éxito del tratamiento depende de lo que causó la excesiva producción de andrógenos. Si la afección es causada por un tumor ovárico, la extirpación quirúrgica de dicho tumor puede corregir el problema. La mayoría de los tumores no son cancerosos (benignos) y no reaparecerán después de haber sido extirpados.

En el síndrome ovárico poliquístico, lo siguiente puede reducir los síntomas causados por el aumento en los niveles de andrógeno:

  • Monitoreo cuidadoso
  • Cambios en la dieta
  • Medicamentos
  • Ejercicio vigoroso regular

Complicaciones:

La infertilidad es una complicación posible.

Las mujeres con el síndrome ovárico poliquístico pueden estar en mayor riesgo de:

  • Diabetes
  • Hipertensión arterial
  • Colesterol alto
  • Obesidad
  • Cáncer uterino
  • Reviewed last on: 6/7/2010
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Lobo RA. Hyperandrogenism: physiology, etiology, differential diagnosis, management. In: Katz V, Lobo RA, Lentz G, Gershenson D, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 40.

Bulun SE, Adashi EY. The physiology and pathology of the female reproductive axis. In: Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. Williams Textbook of Endocrinology. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 16.

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