No metabolic impact of surgical normalization of hyperandrogenism in postmenopausal women with ovarian androgen-secreting tumours

Clinical Endocrinology
Carla PelusiRenato Pasquali

Abstract

To examine the impact of surgical normalization of testosterone on body weight and on glucose and lipid metabolism and insulin sensitivity in a group of hyperandrogenic women with ovarian androgen-secreting tumours (OAST). Five consecutive postmenopausal hyperandrogenic patients (aged 63 ± 5 years) with a diagnosis of OAST were prospectively evaluated. Clinical signs, symptoms and metabolic and hormonal parameters were collected at the time of the diagnosis and at follow-up, 12 months after surgical oophorectomy. A group of 15 age-matched and body mass index-matched postmenopausal control women served as a reference group. At baseline, patients with OAST had very high testosterone levels and inappropriately low gonadotrophin levels for their menopausal status. All the women were overweight or obese, and one had a history of polycystic ovary syndrome and Type 2 diabetes. Twelve months after surgical oophorectomy, testosterone and gonadotrophin levels returned to appropriate values for menopausal status in all patients; however, no change in body weight was found. Fasting glucose levels slightly increased (P < 0·05) without any significant change in other metabolic parameters. In the woman with diabetes, a moderate decrease in ha...Continue Reading

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Citations

Nov 30, 2014·Journal of Endocrinological Investigation·D MacutJ Bjekić-Macut
Sep 17, 2014·European Journal of Endocrinology·Marios C MarkopoulosGregory Kaltsas
Nov 26, 2013·European Journal of Endocrinology·Renato Pasquali, Alessandra Gambineri
Apr 11, 2018·Journal of the European Academy of Dermatology and Venereology : JEADV·J P ClaudelB Dréno
Sep 30, 2020·Journal of Women's Health·Alexis LeVeeChrisandra Shufelt
Mar 25, 2021·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Blazej MeczekalskiEli Y Adashi
May 15, 2021·Climacteric : the Journal of the International Menopause Society·T Yoldemir

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