Hairy Pregnancy: A Case of Gestational Hyperandrogenism

The article discusses a rare case of gestational hyperandrogenism in a 27-year-old woman with a history of polycystic ovarian syndrome (PCOS), who experienced increased hair growth during pregnancy. Despite elevated testosterone levels, which are typically managed by increased sex hormone-binding globulin (SHBG) and placental aromatase, the patient's PCOS diminished these protective effects, leading to clinical hyperandrogenism. Post-delivery, her symptoms resolved, and testosterone levels normalized, although PCOS symptoms may recur. This case highlights the complex interplay between pregnancy, testosterone, and PCOS.