Maternal virilization due to luteoma associated with delayed lactation

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

doi:10.1016/j.fertnstert.2008.01.055

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

Obstetrics and Gynecology

Research output: Contribution to journal › Article › peer-review

10 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 language	English (US)
Pages (from-to)	2006.e17-2006.e19
Journal	Fertility and Sterility
Volume	90
Issue number	5
DOIs	https://doi.org/10.1016/j.fertnstert.2008.01.055
State	Published - Nov 2008

Keywords

Luteoma
delayed breastfeeding
musculinization
pregnancy
tumor
virilization

ASJC Scopus subject areas

Reproductive Medicine
Obstetrics and Gynecology

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10.1016/j.fertnstert.2008.01.055

Cite this

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title = "Maternal virilization due to luteoma associated with delayed lactation",

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.",

keywords = "Luteoma, delayed breastfeeding, musculinization, pregnancy, tumor, virilization",

author = "Dahl, {Stephanie K.} and Thomas, {Michael A.} and Williams, {Daniel B.} and Robins, {Jared C.}",

year = "2008",

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doi = "10.1016/j.fertnstert.2008.01.055",

language = "English (US)",

volume = "90",

pages = "2006.e17--2006.e19",

journal = "Fertility and Sterility",

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publisher = "Elsevier Inc.",

number = "5",

}

TY - JOUR

T1 - Maternal virilization due to luteoma associated with delayed lactation

AU - Dahl, Stephanie K.

AU - Thomas, Michael A.

AU - Williams, Daniel B.

AU - Robins, Jared C.

PY - 2008/11

Y1 - 2008/11

N2 - 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.

AB - 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.

KW - Luteoma

KW - delayed breastfeeding

KW - musculinization

KW - pregnancy

KW - tumor

KW - virilization

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Maternal virilization due to luteoma associated with delayed lactation

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

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