Maternal virilization due to luteoma associated with delayed lactation

Stephanie K. Dahl*, Michael A. Thomas, Daniel B. Williams, Jared C. Robins

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)2006.e17-2006.e19
JournalFertility and Sterility
Volume90
Issue number5
DOIs
StatePublished - Nov 2008

Keywords

  • Luteoma
  • delayed breastfeeding
  • musculinization
  • pregnancy
  • tumor
  • virilization

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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