Affiliation:
1. Department of Obstetrics and Gynecology, Faculty of Medicine for Boys-Cairo, Al-Azhar University, Cairo
2. Department of Clinical Pathology, Faculty of Medicine, El- Minia University, Minia
Abstract
Background and aim
The popular endocrine syndrome happening in women of reproductive age is polycystic ovary syndrome (PCOS). It is long understood that chronic ovaries with many tiny cysts, hyper vascularized androgen-secreting stroma, signs of extra androgen, and menstrual cycle irregularity are all related. The aim was to compare several biochemical measures in women with PCOS and age-matched control for a definite diagnosis of PCOS by using by using anti-müllerian hormone (AMH), sex hormone binding globulin (SHBG), total testosterone, serum insulin and lipid profile.
Patients and methods
Case-control research had been performed for patients who were admitted to El-Hussein University Hospital and EI-Minia University Hospital, Department of Obstetrics and Gynecology. The study included two matched groups: group (1) involved 40 eligible women sonographically evaluated and biochemically diagnosed with PCOS (cases group). Group (2): equal number of normal women 40 in a ratio of 1 : 1 had been chosen in the (control group).
Results
Mean value of triglycerides, low-density lipoprotein (LDL), total cholesterol, and very LDL had been greater between the cases group than the control one although there had been no variation among cases and controls regarding high density lipoprotein (HDL). Mean value of serum insulin and homeostasis model assessment-estimated insulin resistance (HOMA-IR) had been greater between cases group than the control.
Conclusion
This research confirms that obese women having PCOS have atherogenic lipoprotein profiles that are marked by elevated levels of cholesterol, LDL, and triglycerides and could be a danger point for later leading to cardiovascular complications.
Reference19 articles.
1. The pathogenesis of polycystic ovary syndrome (PCOS): the hypothesis of PCOS as functional ovarian hyperandrogenism revisited;Rosenfield;Endocr Rev,2016
2. Polycystic ovary syndrome (PCOS), diagnostic criteria, and AMH;Mohammad;Asian Pac j cancer prev: APJCP,2017
3. Value of ultrasonography in the diagnosis of polycystic ovary syndrome-literature review;Bachanek;J Ultrason,2015
4. Scientific statement on the diagnostic criteria, epidemiology, pathophysiology, and molecular genetics of polycystic ovary syndrome;Dumesic;Endocr Rev,2015
5. Lipid profile in women with polycystic ovary syndrome;Amini;Crescent J Med Biol Sci,2014