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American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice for the Diagnosis and Treatment of Hyperandrogenic Disorders

2001; Elsevier BV; Volume: 7; Issue: 2 Linguagem: Inglês

10.4158/ep.7.2.120

1934-2403

Neil F. Goodman, Maya B. Bledsoe, Rhoda H. Cobin, Walter Futterweit, Joseph W. Goldzieher, Steven M. Petak, Keith D. Smith, Emil Steinberger, Robert J. Anderson, Donald A. Bergman, Zachary T. Bloomgarden, Richard A. Dickey, Pasquale Palumbo, Anne L. Peters, Herbert I. Rettinger, Helena W. Rodbard, Harvey A. Rubenstein,

Ovarian cancer diagnosis and treatment

The purpose of this document is to provide guidelines for the diagnosis and treatment of hyperandrogenic disorders in women. These may range from simple hirsutism, without clearly demonstrable biochemical features of hyperandrogenism, to frank virilization. The symptoms and signs include those that involve the pilosebaceous unit (PSU)—that is, hirsutism, acne, and alopecia—and those that involve the female reproductive system—amenorrhea and infertility. Hyperandrogenism is also a forerunner of serious cardiovascular problems (for example, hypertension, microvascular disease, and dyslipidemias) and other metabolic disorders (such as type 2 diabetes mellitus). Thus, clinical endocrinologists seem optimally qualified to address these disorders. These guidelines are not to be considered an extensive review of the literature on this topic or an exhaustive analysis of recent advances in this field. They are intended to be what the word guidelines implies: a brief summary of the accepted scientific information and views on this topic as well as suggestions for the diagnosis and treatment of these disorders. The presented material is in a form that can be easily used and applied to practical clinical situations encountered by endocrinologists.