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.
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.
Authors: David Hamisi Mvunta; Fatemazahra Amiji; Mubina Suleiman; Francisco Baraka; Ikrah Abdallah; Mabula Kazabula; Peter J T Wangwe; Furaha August Journal: Case Rep Obstet Gynecol Date: 2021-03-24