Hyperthecosis
| Hyperthecosis | |
|---|---|
| Synonyms | |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Hirsutism, acne, menstrual irregularities, virilization |
| Complications | Infertility, metabolic syndrome |
| Onset | |
| Duration | |
| Types | |
| Causes | Excessive androgen production |
| Risks | |
| Diagnosis | Clinical evaluation, ultrasound, hormone level testing |
| Differential diagnosis | Polycystic ovary syndrome, ovarian tumors, Cushing's syndrome |
| Prevention | |
| Treatment | Hormonal therapy, surgery |
| Medication | Oral contraceptives, anti-androgens |
| Prognosis | |
| Frequency | |
| Deaths | N/A |
Hyperthecosis is a medical condition that affects the ovaries. It is characterized by the presence of an excessive number of theca cells in the ovaries. These cells produce androgens, which are male hormones. When there is an overproduction of these hormones, it can lead to a variety of symptoms, including hirsutism, acne, menstrual irregularities, and infertility. Hyperthecosis is often associated with polycystic ovary syndrome (PCOS), but it can also occur independently.
Etymology
The term "hyperthecosis" is derived from the Greek words "hyper," meaning "over," and "theca," which refers to a case or sheath. In this context, it refers to the overproduction of theca cells in the ovaries.
Symptoms
The symptoms of hyperthecosis are similar to those of PCOS and can include:
- Hirsutism: This is the presence of excessive body hair in areas where men typically have hair, such as the face, chest, and back.
- Acne: Overproduction of androgens can lead to acne.
- Menstrual irregularities: Women with hyperthecosis may have irregular periods or may stop having periods altogether.
- Infertility: The hormonal imbalances caused by hyperthecosis can make it difficult for a woman to become pregnant.
Diagnosis
Hyperthecosis is diagnosed through a combination of physical examination, medical history, and laboratory tests. The doctor may order blood tests to measure the levels of various hormones in the body. An ultrasound may also be used to examine the ovaries and look for the presence of multiple small cysts, which is a characteristic feature of hyperthecosis.
Treatment
Treatment for hyperthecosis typically involves managing the symptoms and may include:
- Hormone therapy: This can help to regulate the menstrual cycle and reduce symptoms such as hirsutism and acne.
- Lifestyle changes: Regular exercise and a healthy diet can help to manage symptoms and improve overall health.
- Fertility treatments: If infertility is a concern, various treatments are available to help a woman become pregnant.
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Contributors: Prab R. Tumpati, MD