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Maternal hyperandrogenism beginning from early pregnancy and progressing until delivery does not produce virilization of a female newborn
Authors:Rita Bertalan  Laszlo Csabay  Anna Blazovics  Janos Rigo Jr  Ibolya Varga  Zita Halasz
Affiliation:1. Second Department of Medicine, Semmelweis University, Budapest, Hungary;2. First Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary;3. Molecular Medicine Research Group, Hungarian Academy of Sciences and Semmelweis University, Budapest, Hungary;4. Second Department of Pediatrics, Semmelweis University, Budapest, Hungary
Abstract:
A 33-year-old primagravida with a history of polycystic ovary syndrome was referred because of symptoms of moderate hyperandrogenism. Serum hormone levels, measured regularly from the 7th week of pregnancy until delivery, showed very high increases of testosterone, androstenedione and estradiol. Ultrasound showed no evidence of adrenal or ovarian masses. She delivered a female newborn with normal female external genitalia. Umbilical cord hormone levels were normal, except for a modest increase of serum testosterone. After delivery the androgen levels of the mother returned to normal and the symptoms of hyperandrogenism were also slightly improved.
Keywords:Maternal hyperandrogenism  pregnancy  testosterone  aromatase activity
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