Stein-Leventhal syndrome
Endocrine disorder in women, characterized by high levels of male hormones (
androgens) and infrequent or absent ovulation (
see reproductive system). It causes a high proportion of female
infertility cases. Symptoms vary but often include increased serum concentrations of androgens,
insulin resistance, hirsutism, acne, and obesity.
Menstruation may be irregular, absent, or excessive. The
ovaries are usually enlarged and contain
cysts. The disease may remain undiagnosed until a woman tries to conceive. The underlying cause is not fully understood, and no genetic mutations have been associated with the syndrome. Many women with Stein-Leventhal syndrome are at an increased risk of developing metabolic disorders such as type II
diabetes or
lipid disorders such as
atherosclerosis at an unusually young age. Treatment attempts to reduce androgen production. Infertility may be treated with clomiphene citrate or gonadotropins to induce ovulation.
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