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[Sublingual thyroid gland associated with polycystic ovaries]
G Forsbach1, P Galache-Vega, S Hernández-Ayup
1Departamento de Endocrinología, Hospital de Gineco-Obstetricia Dr. I. Morones, IMSS.
Ginecologia Y Obstetricia De Mexico
|October 3, 1999
Summary
Polycystic ovary syndrome (PCOS) can cause secondary amenorrhea in young women. This case highlights a patient with PCOS and a lingual thyroid gland, emphasizing PCOS as a primary endocrine cause of amenorrhea.
Area of Science:
- Endocrinology
- Reproductive Medicine
Background:
- Polycystic ovary syndrome (PCOS) is a common endocrine disorder associated with ovulatory dysfunction.
- Secondary amenorrhea, the absence of menstruation for at least three cycles, can stem from various endocrine causes in young women.
Observation:
- A 19-year-old woman presented with secondary amenorrhea and was diagnosed with PCOS, characterized by bilateral ovarian enlargement on ultrasound.
- Hormonal evaluation revealed elevated TSH and low free thyroxine, indicative of hypothyroidism.
- A thyroid gammagram identified a small lingual thyroid gland.
Findings:
- The patient was treated with levothyroxine for hypothyroidism.
- Despite normalized TSH levels, cyclical menstruation did not resume within six months of follow-up.
- Polycystic ovary syndrome was confirmed as the primary endocrine cause of secondary amenorrhea in this case.
Implications:
- This case underscores the importance of comprehensive endocrine evaluation in young women with secondary amenorrhea.
- The co-occurrence of PCOS and a lingual thyroid highlights the complexity of managing endocrine disorders.
- Further research may explore the interplay between thyroid function and PCOS in reproductive health.