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  • Title: Maternal virilization due to luteoma associated with delayed lactation.
    Author: Dahl SK, Thomas MA, Williams DB, Robins JC.
    Journal: Fertil Steril; 2008 Nov; 90(5):2006.e17-9. PubMed ID: 18635167.
    Abstract:
    OBJECTIVE: To report on a patient with virilization during pregnancy who experienced delayed lactation secondary to elevated maternal androgens. DESIGN: Case report and review of the literature. SETTING: University hospital. PATIENT(S): A 32-year-old pregnant woman presented with virilization at 32 weeks' gestation. INTERVENTION(S): Laboratory evaluation, ultrasound examination, magnetic resonance imaging, cesarean section for fetal indication, nipple stimulation to facilitate lactation. MAIN OUTCOME MEASURE(S): Case report. RESULT(S): Postpartum normalization of serum T levels and patient ability to breastfeed exclusively after delayed initiation of lactation. CONCLUSION(S): Maternal virilization during pregnancy is rare and is often due to androgen-secreting tumors that are benign. Therefore, careful evaluation of these patients is important to avoid inadvertent oophorectomy.
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