<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412021000100051</article-id>
<article-id pub-id-type="doi">10.24245/gom.v89i1.4406</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hiperandrogenismo en mujer posmenopáusica: reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Hyperandrogenism in postmenopausal women: a case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mariño-Méndez]]></surname>
<given-names><![CDATA[Helia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Palanca]]></surname>
<given-names><![CDATA[Sergio José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-López]]></surname>
<given-names><![CDATA[José Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palmeiro-Fernández]]></surname>
<given-names><![CDATA[Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Varela-Ponte]]></surname>
<given-names><![CDATA[Carla]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez-Salgado]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Público de Valdeorras  ]]></institution>
<addr-line><![CDATA[Ourense ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Público de Valdeorras  ]]></institution>
<addr-line><![CDATA[Ourense ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Público de Valdeorras  ]]></institution>
<addr-line><![CDATA[Ourense ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Público de Valdeorras  ]]></institution>
<addr-line><![CDATA[Ourense ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>89</volume>
<numero>1</numero>
<fpage>51</fpage>
<lpage>57</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412021000100051&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412021000100051&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412021000100051&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  ANTECEDENTES: El hiperandrogenismo es un cuadro clínico caracterizado por producción excesiva de andrógenos de origen ovárico o suprarrenal, acompañado o no por signos clínicos de virilización femenina. Es infrecuente en la posmenopausia y puede ser causado por enfermedades benignas o tumores malignos.  CASO CLÍNICO: Paciente de 64 años, con menarquia a los 12 años y menopausia a los 51, nulípara. En tratamiento por dislipemia mixta e hipotiroidismo postiroidectomía total. Experimentó un cuadro clínico característico, con aumento del vello terminal, voz más grave, aumento del clítoris y de la libido. El perfil hormonal era normal, excepto el de testosterona que se reportó por encima de las concentraciones normales en la menopausia. Después de los estudios pertinentes, se sospechó origen ovárico y se programó una anexectomía bilateral laparoscópica. Enseguida de la intervención quirúrgica se estableció el diagnóstico anatomopatológico de hiperplasia estromal benigna.  CONCLUSIONES: En mujeres en la posmenopausia el hiperandrogenismo es infrecuente; por ello debe integrarse una adecuada anamnesis, exploración y orientación clínica para su estudio y tipificación. Existen causas benignas y malignas de origen ovárico y suprarrenal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  BACKGROUND: Hyperandrogenism is a clinical picture characterized by excess production of androgens of ovarian or adrenal origin accompanied or not by clinical signs of female virilization. It is scarce in postmenopause and can be caused by benign pathologies or malignant tumors.  CLINICAL CASE: A 64-year-old patient, with menarche at 12 years and menopause at 51, nulliparous. In treatment for mixed dyslipidemia and hypothyroidism after total thyroidectomy. She presented a characteristic clinical picture with increased terminal hair, lower voice, increased clitoris and libido. Normal hormonal profile except for testosterone above physiological levels for menopause. After performing the relevant studies, ovarian origin was suspected and a laparoscopic bilateral adnexectomy was scheduled. After surgery, the anatomical-pathological diagnosis of benign stromal hyperplasia was made, and the symptoms disappeared.  CONCLUSIONS:  hyperandrogenism in the post menopause is infrequent and we must carry out an adequate anamnesis, exploration and clinical orientation for its study and typification. There are benign and malignant causes of ovarian and adrenal origin.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hiperandrogenismo]]></kwd>
<kwd lng="es"><![CDATA[andrógenos]]></kwd>
<kwd lng="es"><![CDATA[virilización]]></kwd>
<kwd lng="es"><![CDATA[posmenopausia]]></kwd>
<kwd lng="es"><![CDATA[dislipemia]]></kwd>
<kwd lng="es"><![CDATA[hipotiroidismo]]></kwd>
<kwd lng="es"><![CDATA[tiroidectomía total]]></kwd>
<kwd lng="es"><![CDATA[testosterona]]></kwd>
<kwd lng="es"><![CDATA[hiperplasia estromal]]></kwd>
<kwd lng="en"><![CDATA[Hyperandrogenism]]></kwd>
<kwd lng="en"><![CDATA[Androgens]]></kwd>
<kwd lng="en"><![CDATA[Virilization]]></kwd>
<kwd lng="en"><![CDATA[Postmenopause]]></kwd>
<kwd lng="en"><![CDATA[Dyslipidemia]]></kwd>
<kwd lng="en"><![CDATA[Hypothyroidism]]></kwd>
<kwd lng="en"><![CDATA[Total Thyroidectomy]]></kwd>
<kwd lng="en"><![CDATA[Testosterone]]></kwd>
<kwd lng="en"><![CDATA[Stromal hyperplasia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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