Gynecologic problems of androgen excess
Gita P. Gidwani, MDAddress reprint requests to G.P.G, Department of Gynecology, The Cleveland Clinic Foundation, One Clinic Center, 9500 Euclid Avenue, Cleveland, Ohio 44195.
The patient with androgen excess may present with amenorrhea, oligomenorrhea, painless metro-menorrhagia, or infertility. Adrenal and ovarian tumors, though uncommon, must be excluded in the workup. The long-term sequelae of untreated anovulation includes adenomatous hyperplasia and cancer of the endometrium. Treatment can range from uncomplicated follow-up with cosmetic advice to the use of potent drugs that induce ovulation.