Open AccessPostmenopausal Alopecia due to Ovarian Hyperandrogenemia Treated with Bilateral Salpingo-oophorectomy
Author(s) -
Acharya Sk,
Srirupa Chakravorty,
David W. Rae
Publication year - 2020
Publication title -
journal of south asian federation of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.108
H-Index - 8
eISSN - 0975-1920
pISSN - 0974-8938
DOI - 10.5005/jp-journals-10006-1771
Subject(s) - medicine , luteinizing hormone , testosterone (patch) , hyperandrogenism , gynecology , urology , polycystic ovarian disease , androgen , hormone , endocrinology , polycystic ovary , diabetes mellitus , insulin resistance
Increased ovarian production of androgens due to the stimulation of luteinizing hormone (LH) on theca cells can cause hyperandrogenism that may present with signs of alopecia in postmenopausal women. Case description A 65-year-old postmenopausal woman presented to the gynecology clinic with male-pattern baldness. Serum testosterone was high that was suppressed with gonadotropin-releasing hormone analog (GnRH agonist). This confirmed ovarian source of androgens. Laparoscopic salpingo-oophorectomy helped reduce androgen levels over a period of an year therefore reversing at least partially the hair loss. Conclusion Gonadotropin-releasing hormone analogs can be useful to diagnose the source of increased androgen levels to be of ovarian origin. Once confirmed, laparoscopic bilateral salpingo-oophorectomy can reverse hair loss in these cases. How to cite this article Acharya S, Chakravorty S, Rae D. Postmenopausal Alopecia due to Ovarian Hyperandrogenemia Treated with Bilateral Salpingo-oophorectomy. J South Asian Feder Obst Gynae 2020;12(3):182–183.