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including neurons that release kisspeptin, neurokinin B and dynorphin (KNDy) that stimulate pituitary release of gonadotropins, luteinizing hormone (LH) and follicle-stimulating hormone (FSH). This hormonal cascade results in gonadal maturation with
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INSERM Unité 1203 (DEFE), Université de Montpellier, Montpellier, France
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Département d'Endocrinologie et de Gynécologie Pédiatrique, Hôpital Arnaud de Villeneuve, Université de Montpellier, Montpellier, France
INSERM Unité 1203 (DEFE), Université de Montpellier, Montpellier, France
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hyperandrogenism warrant investigations to rule out an adrenal or ovarian disorder, particularly polycystic ovary syndrome and nonclassical congenital adrenal hyperplasia ( 2 , 3 ). In few patients, the clinical expression of hyperandrogenism is more severe with
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samples to analyse GH, with levels from 3 to 12 ng/mL reported. The assay methods used also significantly affected the GH concentration determined. Wagner et al . ( 15 ) analysed GH in samples from stimulation tests in children and, as a reference, used
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-related problems that may require support. Although pregnancies have been described, fertility is extremely rare for women and not reported in men with PWS. However, contraception should be discussed if the woman has ovarian activity and is sexually active without