From: Recurrent maternal virilization during pregnancy in patients with PCOS: two clinical cases
Pregnancy | Age | Signs of virilization | Complications during pregnancy | Delivery | Postpartum |
---|---|---|---|---|---|
1st | 27 |
- deep voice - enlargement of feet | - gestational diabetes |
- 36 weeks’ gestation (w.g) - girl 2440 g non virilized | - breastfeeding limited to one week because of a delay in lactation |
2nd | 32 |
- deep voice - facial hair, hair growth on limbs and abdomen - clitoromegaly - face and hands edema |
- 34 + 5 w.g - girl 3215 g non virilized | - breastfeeding limited to few days because of a delay in lactation | |
3rd | 35 |
- deep voice - clitoromegaly - severe hirsutism |
- gestational diabetes treated with insulin - menace of preterm delivery at 25 and 32 w.g (treated with corticosteroids) |
- 32 + 2 w.g - boy 2250 g with hyaline membrane disease |
- right adnexectomy for adnexal torsion - pathological analysis non-contributive (necrosis) |
4th | 36 |
- deep voice - clitoromegaly - explosive hirsutism Ferriman and Gallwey score = 20. |
- gestational diabetes treated with insulin - menace of preterm delivery at 28 + 5 w.g (treated with corticosteroids) |
- 37 w.g - non virilized girl | - sub torsion of the left adnexal |