Abordaje diagnóstico del hiperandrogenismo en las mujeres segun las etapas de la vida

Abstract

Introduction: Hyperandrogenism is a pathology characterized by an excess of androgens, of ovarian or adrenal origin, which causes dermatological and gynecological alterations, being the main reason for consultation, which have repercussions on the quality of life in the different stages of women; the diagnostic approach is focused on age, clinical characteristics and cause of this disorder, with the application of appropriate diagnostic methods for a correct differential diagnosis. Objective: To determine the diagnostic criteria of hyperandrogenism in women according to the stages of life, through a search of scientific articles of the last 5 years in order to provide updated and useful information to the first level health care physician. Methodology: This is a descriptive, retrospective study through a bibliographic review in the scientific databases of Scielo, PubMed and Google Scholar; in relation to the diagnosis of hyperandrogenism in childhood, adolescence, reproductive age and postmenopause. Conclusion: The diagnostic criteria are oriented to the origin, according to the stage of life; with a complete anamnesis and physical examination together with the application of scales such as: Ferriman and Gallwey in hirsutism and Ludwig scale in androgenic alopecia; widely used criteria such as those of Rotterdam in the suspicion of polycystic ovary syndrome, specifically in adolescents and women of childbearing age; hormonal and biochemical tests that relate the underlying pathology; tomography and MRI to rule out androgen-producing tumors, indispensable in postmenopause.