OVARIAN ENLARGEMENT AS A POSSIBLE MARKER OF ANDROGEN ACTIVITY IN POLYCYSTIC-OVARY-SYNDROME

被引:24
作者
PUZIGACA, Z [1 ]
PRELEVIC, GM [1 ]
STRETENOVIC, Z [1 ]
BALINTPERIC, L [1 ]
机构
[1] ZVEZDARA UNIV,MED CTR,DIMITRIJA TUCOVICA 161,YU-11000 BELGRADE,YUGOSLAVIA
关键词
D O I
10.3109/09513599109028438
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This study has been carried out in an attempt to analyze clinical, hormonal and ultrasonography data and to evaluate their possible interrelationships in a group of 72 women with polycystic ovary syndrome (PCOS). Seventeen (23.6%) POC women were found to have ovarian volume within normal range, while 72.2% had enlarged ovaries. Serum testosterone, androstenedione and DHEAS levels were higher in PCO women with enlarged ovaries when compared to patients who had ovarian volume within normal range, although the difference was not significant. However, when PCO patients were divided into subgroups according to the degree of ovarian enlargement, it was found that patients with the most enlarged ovaries had significantly higher serum androstenedione levels than those with normal ovarian volume (p = 0.039). Significant positive correlation was established between serum androstenedione concentration and ovarian volume (r = + 0.23, p < 0.05). Hirutism was found to be equally present in patients with normal ovarian volume (70.6%) and in patients with enlarged ovaries (71.2%) while oligomenorrhea was present more frequently among PCO women who had ovarian volume within normal range (64.7% vs. 40.4%). The results of our study allow us to suggest ovarian enlargement as a marker of excessive androgen production and disturbances of menstrual cycle in polycystic ovary syndrome.
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页码:167 / 174
页数:8
相关论文
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