{"id":7247,"date":"2025-09-24T02:56:11","date_gmt":"2025-09-24T02:56:11","guid":{"rendered":"https:\/\/polikistikover.net\/yeni\/?page_id=7247"},"modified":"2025-11-15T22:38:02","modified_gmt":"2025-11-15T22:38:02","slug":"polikistik-over-sendromunda-kotu-kokulu-ve-fazla-miktarda-terleme","status":"publish","type":"page","link":"https:\/\/polikistikover.net\/yeni\/polikistik-over-sendromunda-kotu-kokulu-ve-fazla-miktarda-terleme\/","title":{"rendered":"Polikistik Over Sendromu\u2019nda K\u00f6t\u00fc Kokulu ve Fazla Miktarda Terleme"},"content":{"rendered":"\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-pink-color\">Erkeklik hormonlar\u0131n\u0131n (testosteron, dihidrotestosteron) ve erkeklik hormonlar\u0131na d\u00f6n\u00fc\u015fen hammaddelerin (DHEAS, androstenedione) kan dola\u015f\u0131m\u0131nda fazla miktarlarda&nbsp;(hiperandrogenemia) bulundu\u011fu kad\u0131nlarda koltuk alt\u0131, genital b\u00f6lge ve g\u00f6\u011f\u00fcs \u00e7evresinde terleme art\u0131\u015f\u0131 (hyperhidrosis) g\u00f6r\u00fclebilmektedir(4).<\/mark><\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"> Polikistik over sendromu olan kad\u0131nlar\u0131n bir k\u0131sm\u0131nda t\u00fcylenme art\u0131\u015f\u0131, sivilce&nbsp;ve&nbsp;sa\u00e7 d\u00f6k\u00fclmesi belirtileri bazen birlikte bazen de tek ba\u015f\u0131na g\u00f6r\u00fclmektedir(5,6,7). Terleme art\u0131\u015f\u0131 (hyperhidrosis) da polikistik over sendromu olan kad\u0131nlar\u0131n bir k\u0131sm\u0131nda t\u00fcylenme art\u0131\u015f\u0131, sivilce ve sa\u00e7 d\u00f6k\u00fclmesi gibi tek ba\u015f\u0131na&nbsp;g\u00f6r\u00fclebilmektedir. Bu nedenle bazen polikistik over sendromu\u2019nun tek belirtisi terleme art\u0131\u015f\u0131 olabilir(5).<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\">Ter bezleri v\u00fccudumuzun her taraf\u0131na da\u011f\u0131lm\u0131\u015ft\u0131r. Fakat, \u00f6zellikle&nbsp;koltuk alt\u0131, kas\u0131k, genital b\u00f6lge ve g\u00f6\u011f\u00fcs \u00e7evresinde&nbsp;bulunan ter bezleri (apocrine) kad\u0131nlarda erkeklik hormonlar\u0131na (testosteron) duyarl\u0131d\u0131r(1,2). Bu b\u00f6lgelerde bulunan ter bezlerinde testosteron\u2019un tutundu\u011fu al\u0131c\u0131lar (resept\u00f6r) vard\u0131r(1). Bu al\u0131c\u0131lar\u0131n \u00fczerinde testosteron hormonunu dihidrotestosteron hormonuna d\u00f6n\u00fc\u015ft\u00fcren 5 \u2013 \u03b1 red\u00fcktaz enzimi bulunmaktad\u0131r(2).&nbsp;<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-pink-color\">Dihidrotestosteron&nbsp;hormonu terleme miktar\u0131n\u0131 ve kokusunu belirlemektedir(2,4).<\/mark><\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\">&nbsp;Dihidrotestosteron&nbsp;hormonunun b\u00fcy\u00fck \u00e7o\u011funlu\u011fu kan dola\u015f\u0131m\u0131na kat\u0131lmadan \u00f6nce deride 3&nbsp;\u03b1- androstanediol glucuronide d\u00f6n\u00fc\u015fmektedir. <\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-pink-color\">Bu nedenle polikistik over sendromu olan kad\u0131nlar\u0131n bir k\u0131sm\u0131nda terleme miktar\u0131 kan dola\u015f\u0131m\u0131nda bulunan dihidrotestosteron hormonu ve onun y\u0131k\u0131m \u00fcr\u00fcn\u00fc (metabolit) olan <a href=\"http:\/\/polikistikover.net\/3-%CE%B1-androstanediol-glucuronide\/\"><\/a>3&nbsp;\u03b1- androstanediol glucuronide miktarlar\u0131ndaki art\u0131\u015fa paralel olarak artmaktad\u0131r.<\/mark><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"#polikistikover #fazlaterleme #kokuluterleme #genitalb\u00f6lgeterlemesi #testosteronterleme\" width=\"1320\" height=\"743\" src=\"https:\/\/www.youtube.com\/embed\/brHz4Kx_aGY?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><em>Erkeklik hormonlar\u0131 (androgens) testosteron ve DHT (dihidrotestosteron) (dihydrotestosterone), erkeklik hormonlar\u0131n\u0131n hammaddesi DHEA (dehidroepiandrosteron)(dehydrotestosterone) ve erkeklik hormonlar\u0131n\u0131n y\u0131k\u0131m \u00fcr\u00fcnlerinin ADT-G (androsterone glucuronide) ve 3 \u03b1-diol-G ( 3 \u03b1-androstanediol glucuronide) kan dola\u015f\u0131m\u0131nda ve h\u00fccre i\u00e7inde (deri k\u0131l k\u00f6kleri ve ya\u011f bezleri) bulunan miktarlar\u0131n\u0131n da\u011f\u0131l\u0131m\u0131. Testosteron ve Dihidrotestosteron hormonlar\u0131n\u0131 g\u00f6steren mavi ve sar\u0131 dikd\u00f6rtgenlerin y\u00fckseklikleri bu maddelerin miktarlar\u0131 ile orant\u0131l\u0131d\u0131r.<\/em><\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-blue-color\">Polikistik over sendromu olan kad\u0131nlarda erkeklik hormonlar\u0131na ba\u011fl\u0131 iki mekanizma ile terleme art\u0131\u015f\u0131 olmaktad\u0131r;<\/mark><\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:#f85907\" class=\"has-inline-color\">1-<\/mark><\/strong>Dihidrotestosteron hormonunun hammaddesi testosteron, androstenedion ve DHEAS hormonlar\u0131n\u0131n <a href=\"http:\/\/polikistikover.net\/sex-hormone-binding-globulin\/\"><\/a>SHBG&nbsp; (Sex Hormon Binding Globulin) ye ba\u011flanmayan serbest formlar\u0131d\u0131r.&nbsp;<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-pink-color\">Bu serbest formlar\u0131n kan dola\u015f\u0131m\u0131nda bulunan miktarlar\u0131ndaki art\u0131\u015fa paralel olarak terleme miktar\u0131 artmaktad\u0131r(3,4).<\/mark><\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:#f88308\" class=\"has-inline-color\">2-<\/mark><\/strong>5- \u03b1 red\u00fcktaz enziminin aktivitesi yani fazla \u00e7al\u0131\u015fmas\u0131 ya da az \u00e7al\u0131\u015fmas\u0131 da terlememiktar\u0131n\u0131&nbsp;belirlemektedir. <\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-pink-color\">5- \u03b1 red\u00fcktaz enziminin aktivitesindeki art\u0131\u015fa paralel olarak terleme miktar\u0131 artmaktad\u0131r.<\/mark><\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\">&nbsp;Bu gruba giren kad\u0131nlarda dihidrotestosteron hormonunun hammaddesi olan testosteron, androstenedion ve DHEAS hormonlar\u0131n\u0131n SHBG&nbsp;ye ba\u011flanmayan serbest formlar\u0131 kan dola\u015f\u0131m\u0131nda fazla miktarlarda bulunmamaktad\u0131r(3,4). <\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\">Buna kar\u015f\u0131l\u0131k 5- \u03b1 red\u00fcktaz enziminin fazla \u00e7al\u0131\u015fmas\u0131 nedeniyle&nbsp;dihidrotestosteron hormonu ve&nbsp;dihidrotestosteron&nbsp;hormonunun&nbsp;b\u00fcy\u00fck \u00e7o\u011funlu\u011funun kan dola\u015f\u0131m\u0131na kat\u0131lmadan \u00f6nce d\u00f6n\u00fc\u015ft\u00fc\u011f\u00fc 3&nbsp;\u03b1- androstanediol glucuronide miktar\u0131 artmaktad\u0131r.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong>Kaynaklar<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\">1-Localization of steroid hormone receptors in the apocrine sweat glands&nbsp;of the human axilla.Beier K, Ginez I, Schaller H.Histochem Cell Biol. 2005 Jan;123(1):61-5.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\">2-Characterization, expression, and immunohistochemical localization of 5 alpha-reductase in human skin.&nbsp;Luu-The V, Sugimoto Y, Puy L, Labrie Y, Lopez Solache I, Singh M, Labrie F.&nbsp;J Invest Dermatol. 1994 Feb;102(2):221-6.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\">3-Greater exercise sweating obese women&nbsp;with polycystic ovary syndrome compared&nbsp;with obese controls. Stachenfeld NS, Yeckel CW, Taylor HS.&nbsp;Med Sci Sports Exerc. 2010 Sep;42(9):1660-8.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\">4-Predominance of type I 5alpha-reductase in apocrine sweat glands&nbsp;of patients with excessive or abnormal odour derived from apocrine sweat&nbsp;(osmidrosis).&nbsp;Sato T, Sonoda T, Itami S, Takayasu S.&nbsp;Br J Dermatol. 1998 Nov;139(5):806-10.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\">5-Hyperhidrosis as the only manifestation of hyperandrogenism in an adolescent girl.&nbsp;Kim SS, Rosenfield RL. Arch Dermatol .2000&nbsp;Mar;136(3):430-1.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\">6-The prevalence of hyperandrogenism in 109 consecutive female patients with diffuse alopecia. Futterweit W, Dunaif A, Yeh HC, Kingsley P.&nbsp;J Am Acad Dermatol. 1988&nbsp;Nov;19(5 Pt 1):831-6.<\/p>\n\n\n\n<p>7-The relationship of mild hirsutism or acne in women to androgens. Reingold SB, Rosenfield RL.&nbsp;Arch Dermatol. 1987&nbsp;Feb;123(2):209-12.<\/p>\n\n\n\n<p><br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Erkeklik hormonlar\u0131n\u0131n (testosteron, dihidrotestosteron) ve erkeklik hormonlar\u0131na d\u00f6n\u00fc\u015fen hammaddelerin (DHEAS, androstenedione) kan dola\u015f\u0131m\u0131nda fazla miktarlarda&nbsp;(hiperandrogenemia) bulundu\u011fu kad\u0131nlarda koltuk alt\u0131, genital b\u00f6lge ve g\u00f6\u011f\u00fcs \u00e7evresinde terleme art\u0131\u015f\u0131 (hyperhidrosis) g\u00f6r\u00fclebilmektedir(4). Polikistik over sendromu olan kad\u0131nlar\u0131n bir k\u0131sm\u0131nda t\u00fcylenme art\u0131\u015f\u0131, sivilce&nbsp;ve&nbsp;sa\u00e7 d\u00f6k\u00fclmesi belirtileri bazen birlikte bazen de tek ba\u015f\u0131na g\u00f6r\u00fclmektedir(5,6,7). Terleme art\u0131\u015f\u0131 (hyperhidrosis) da polikistik over sendromu olan [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-7247","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages\/7247","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/comments?post=7247"}],"version-history":[{"count":12,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages\/7247\/revisions"}],"predecessor-version":[{"id":12843,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages\/7247\/revisions\/12843"}],"wp:attachment":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/media?parent=7247"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}