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Dr. David
Dr. David, Board Certified MD
Category: Endocrinology
Satisfied Customers: 42825
Experience:  Board Certified Physician
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My daughter aged 26 suffers with mild adrenal hyperplasia.

Customer Question

My daughter aged 26 suffers with mild adrenal hyperplasia. Although she takes an oestrogen/progesterone OC, she still has hirsuitism, weight gain and a deep voice. This is having a negative psychological impact on her mood. Should she have a course of steroid or would adding an anti-androgen to her OC be more applicable? She has never had a boyfriend but would like one but never wants children.
Submitted: 3 months ago.
Category: Endocrinology
Expert:  Shantal-Mod replied 3 months ago.
Hello,
I'm Shantal and I'm a moderator for this topic.
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Expert:  Dr. David replied 3 months ago.

This is Dr. David

she should see an endocrinologist doctor and be checked for polycystic ovarian syndrome where her ovaries could be producing too much androgens (testosterone).

she may benefit from going on metformin to help improve her body's sensitivity to insulin she is making on her own.

more steroids most likely would not help.

that is unfortunate that her had a bad experience with an endocrinologist before.

PCOS is still a very poorly understood medical condition.

here is a recent good NEJM article about it.

hopefully she can find another endocrinologist who would be more willing to treat her

let me know if you have questions.

Customer: replied 3 months ago.
Hi, I've booked my daughter to see an endocrinologist privately in the UK. Thank you.
Expert:  Dr. David replied 3 months ago.

you are welcome

let me know if you have other questions.

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