Pregnancy in a woman with congenital generalized lipodystrophy: leptin's vital role in reproduction.

Maguire, Marcy; Lungu, Andrea; Gorden, Phillip; Cochran, Elaine; Stratton, Pamela · Obstet Gynecol · 2012

case_report · Level V

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Abstract

Congenital generalized lipodystrophy is a rare disorder characterized by scant adipose tissue, profound leptin deficiency, and severe insulin resistance, resulting in multiple metabolic derangements, including hyperandrogenism, anovulation, and impaired fecundity. A young woman with congenital generalized lipodystrophy receiving leptin therapy experienced menarche, conceived spontaneously, and delivered a liveborn male neonate. Adipose tissue is important to normal female reproductive function. Leptin in particular appears to play a key role in adipose-mediated regulation of fertility.

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