Diagnostic And Therapeutic Utility Of Gonadotrophin-Releasing Hormone Agonist In Postmenopausal Hyperandrogenism Of Ovarian Origin

    Murizal Zainol, Rosliza Shafie, Noor Rafhati Adyani Abdull
    Studysummary In this study of a postmenopausal woman with hyperandrogenism, GnRH agonist treatment significantly reduced testosterone levels, suggesting the androgen excess was ovarian in origin and indicating the potential of using GnRH agonists as a conservative treatment option when surgery is not feasible.
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    The study discusses the use of gonadotrophin-releasing hormone (GnRH) agonist as a diagnostic and therapeutic tool for postmenopausal hyperandrogenism of ovarian origin. A 71-year-old female with hirsutism and acne was treated with GnRH agonist, resulting in a significant reduction in testosterone levels (98.6% reduction) and clinical improvement, confirming the ovarian source of androgen excess. The study concludes that GnRH agonist can be a valuable tool for evaluating and conservatively treating postmenopausal hyperandrogenism, especially for patients who are not candidates for surgery.
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