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Published on: December 1, 2015
Maternal virilization due to luteoma associated with delayed lactation
Stephanie K Dahl1, Michael A Thomas, Daniel B Williams
1Department of Obstetrics and Gynecology, University of Cincinnati Medical Center, Cincinnati, Ohio, USA. skdahl@medicine.nodak.edu
Objective:
To report on a patient with virilization during pregnancy who experienced delayed lactation secondary to elevated maternal androgens.
Design:
Case report and review of the literature.
Setting:
University hospital.
Patient(S):
A 32-year-old pregnant woman presented with virilization at 32 weeks' gestation.
Intervention(S):
Laboratory evaluation, ultrasound examination, magnetic resonance imaging, cesarean section for fetal indication, nipple stimulation to facilitate lactation.
Main Outcome Measure(S):
Case report.
Result(S):
Postpartum normalization of serum T levels and patient ability to breastfeed exclusively after delayed initiation of lactation.
Conclusion(S):
Maternal virilization during pregnancy is rare and is often due to androgen-secreting tumors that are benign. Therefore, careful evaluation of these patients is important to avoid inadvertent oophorectomy.
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