Document Detail


Induction of ovulation in infertile women with hyperandrogenism and insulin resistance.
MedLine Citation:
PMID:  11120504     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The polycystic ovary syndrome is a common cause of anovulatory infertility. Women with severe insulin resistance are a unique subset of polycystic ovary syndrome. The syndrome of hyperandrogenism, insulin resistance, and acanthosis nigricans (HAIR-AN syndrome) is one presentation of the insulin-resistant subset of polycystic ovary syndrome. Insulin resistance and hyperandrogenism are caused by genetic and environmental factors. In women with anovulatory infertility caused by hyperandrogenism and insulin resistance, clomiphene citrate treatment often fails to result in pregnancy. For these women, weight loss and insulin sensitizers can be effective methods of inducing ovulation and pregnancy and may reduce the number of clomiphene-resistant women with polycystic ovary syndrome who are treated with gonadotropins, ovarian surgery, or in vitro fertilization-embryo transfer.
Authors:
R L Barbieri
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  183     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2000 Dec 
Date Detail:
Created Date:  2001-01-08     Completed Date:  2001-01-25     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1412-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
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MeSH Terms
Descriptor/Qualifier:
Acanthosis Nigricans / complications
Female
Humans
Hyperandrogenism / complications*
Hypoglycemic Agents / therapeutic use
Infertility, Female / complications*,  etiology,  physiopathology,  therapy*
Insulin Resistance*
Metformin / therapeutic use
Ovulation Induction*
Polycystic Ovary Syndrome / complications
Syndrome
Grant Support
ID/Acronym/Agency:
HD-29164/HD/NICHD NIH HHS
Chemical
Reg. No./Substance:
0/Hypoglycemic Agents; 657-24-9/Metformin
Comments/Corrections
Comment In:
Am J Obstet Gynecol. 2001 Sep;185(3):777-8   [PMID:  11568818 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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