Adrenal Hyperandrogenism: Multidisciplinary Approach to Solving Problemss

L.A. Lutsenko


Prevalence and possible consequences of the hyperandrogenic states in women of reproductive age stipulate the importance of timely differential diagnosis of hyperandrogenism. Taking into account the level of the development of radiological and laboratory methods of researches, an accurate diagnosis is possible, especially when diagnosing adrenal hyperandrogenism, which often occurs without significant clinical symptoms, but is associated with menstrual disorders, infertility, miscarriage.


hyperandrogenism; congenital adrenal hyperplasia; Cushing’s syndrome; cortisol; 17-OHP


Hyperandrogenic syndrome in women. Pathogenesis, clinical forms, differential diagnostics and treatment. Methodical manual for physicians. Ed. Dedov II. М., 2003; 32 s. (Russian)

Pugeat M. French Endocrine Society. Recommendations for investigation of hyperandrogenism. Ann Endocrinol (Paris). 2010;71(1):Р. 2-7.

Peterkova VA. Congenital adrenal dysfunctions in children: manual. М., 2003; 45 s.(Russian)

Kronenberg GM. William’s Endocrinology: Reproductive endocrinology. Ed. Dedov II, Mel’nichenko GA. М., 2011; 416 s. (Russian)

Clinical recommendations. Diagnostics, medical and preventive measures at congenital adrenal dysfunctions in adult patients. Ed. Dedov II. М., 2016; 27 s. (Russian)

Congenital Adrenal Hyperplasia Due to Steroid 21-hydroxylase Deficiency: An Endocrine Society Clinical Practice Guideline. J. Clin. Endocrinol. Metab. 2010;95(9):4133-4160.

Brunelli V. Final height in congenital adrenal hyperplasia due to 21-hydroxylase deficiency: the Italian experience. J. Pediatr. Endocrinol. Metab. 2003;16(2):277-283.

Diagnosis and Treatment of Polycystic Ovary Syndrome: An Endocrine Society Clinical Practice Guideline. J. Clin. Endocrinol. Metab. 2013;12:2013-2350.

Methodical recommendations. Adrenogenitalic syndrome in children: neonatal screening, diagnostics and treatment. Kharkiv, 2013;44 s. (Ukrainian)

Sazonova AI, Troshina EA, Molashenko NV. Metabolic violations in adult patients with congenital adrenal disfunctions. Problemy endokrinologii. 2012;58(5):3-9. (Russian)

Dreval AV. et al. Prevalence of subclinical hypercorticism in patients with type 2 diabetes mellitus and obesity. Problemy endokrinologii. 2014;1:9-17. (Russian)

Dedov II. Modern methods of hormonal diagnostics of adrenal pathology. M., 2010;28 s. (Russian)

Clinical recommendations. Adrenal insidentals (diagnosis, differential diagnostics). Methodical recommendations for the general physicians. М., 2015;16 s. (Russian)

Nieman LK. The Diagnosis of Cushing's syndrome: аn endocrine society clinical practice guideline. J. Clin. Endocrinol. Metab. 2008;93(5):1526-1540.

Nieman L. Cushing’s syndrome: update on signs, symptoms and biochemical screening. Eur. J. Endocrinol. 2015;173. M33-M38, doi: 10.1530/EJE-15-0464.



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