علاج فرط التكوية المبيضية في المرأة بعد انقطاع الطمث مع زيادة السدى المبيضي الثنائي

References

DOI: 10.1111/cen.15265

• This condition is usually seen after menopause, where there are high concentrations of LH, after the ovary has few, if any, remaining follicles able to aromatise androgens to oestrogen.
• Bilateral increased ovarian stroma on ultrasound is characteristic of OHT.
• In practice, postmenopausal women with suppressed androgens after GnRH analogue should undergo bilateral oophorectomy unless there is a clear unilateral lesion; in this scenario, a discussion with the patient around unilateral or bilateral oophorectomy should be undertaken.
• Postmenopausal: consider bilateral oophorectomy or long term GnRH therapy if unfit for surgery.
• A positive response to GnRH analogue testing signposts a potential long-term treatment modality in women for whom surgery may not be an option.