Marianna D. Birnbaum

  • Citations Per Year
Learn More
Forty-eight women with menstrual dysfunction and clinical evidence of excess androgen production were subjected to an adrenocorticotropic hormone stimulation test that demonstrated the presence of a late-onset 11- or 21-adrenocortical hydroxylase deficiency. Adrenocortical suppression therapy with prednisone was then instituted. Eighty-three percent of the(More)
Thirty-six women with acne vulgaris who consulted gynecologist with complaints of hirsutism, infertility, menorrhagia, or oligomenorrhea were evaluated for an androgen abnormality with assays for testosterone (T), androstenedione (A), and dehydro-epi-androsterone (DHEA). Forty-eight percent of the DHEA measurements were elevated and 61% of the patients had(More)
Eighteen infertile women desiring conception were selected for additional diagnostic studies on the basis of clinical evidence of hyperandrogenism characterized by acne and/or facial hirsutism. These 18 patients underwent stimulation tests with adrenocorticotropic hormone which demonstrated the presence of partial adrenocortical hydroxylase deficiences. All(More)
In their review of female sterilization procedures, Dr. Mumford and colleagues indicate a high complication rate for laparoscopy. In my extensive experience of laparoscopy, I occasionally create emphysema of the abdominal wall and even of the omentum. Abdominal wall emphysema is totally innocuous, and the same can be said for omental emphysema. To call(More)
Twenty women with acne vulgaris who presented to a gynecologist's office with the complaints of hirsutism, infertility, menorrhagia, or oligomenorrhea were subjected to a 24-hour cosyntropin (ACTH) infusion to detect partial 11- or 21-adrenocortical hydroxylase deficiencies. All patients demonstrated enzymatic defects and were placed on prednisone therapy.(More)