Evaluation of ovarian function in 35–40-year-old women with polycystic ovary syndrome

Abstract Objective To assess gonadotrophin secretion, ovarian steroid production and ovarian reserve in PCOS women during the onset of reproductive decline, in order to characterize their ovarian function at this age. Study design Forty PCOS patients and 35 healthy women (35–40 years of age) were in...

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Veröffentlicht in:European journal of obstetrics & gynecology and reproductive biology 2013-09, Vol.170 (1), p.165-170
Hauptverfasser: de Guevara, Amanda Ladrón, Crisosto, Nicolás, Echiburú, Bárbara, Preisler, Jessica, Vantman, Natalie, Bollmann, Josefina, Pérez-Bravo, Francisco, Sir-Petermann, Teresa
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container_end_page 170
container_issue 1
container_start_page 165
container_title European journal of obstetrics & gynecology and reproductive biology
container_volume 170
creator de Guevara, Amanda Ladrón
Crisosto, Nicolás
Echiburú, Bárbara
Preisler, Jessica
Vantman, Natalie
Bollmann, Josefina
Pérez-Bravo, Francisco
Sir-Petermann, Teresa
description Abstract Objective To assess gonadotrophin secretion, ovarian steroid production and ovarian reserve in PCOS women during the onset of reproductive decline, in order to characterize their ovarian function at this age. Study design Forty PCOS patients and 35 healthy women (35–40 years of age) were included. Clinical history, anthropometry, transvaginal ultrasound and a leuprolide acetate test (10 μg/kg s.c.) were performed. Gonadotrophins, steroid hormones, SHBG, inhibin B and AMH were determined. Results Basal and peak LH levels were similar in both groups. Basal and peak FSH levels were significantly higher in the control group. Androgens, peak oestradiol, ovarian volume, antral follicle count and AMH levels were significantly higher in PCOS patients. Conclusion These observations suggest that during late reproductive age, gonadotrophin secretion in women with PCOS is clearly different from that observed in control women and may also differ from that of younger PCOS patients. New features like normal LH and lower FSH levels associated with a higher ovarian reserve may give a different reproductive profile to these women.
doi_str_mv 10.1016/j.ejogrb.2013.06.013
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Study design Forty PCOS patients and 35 healthy women (35–40 years of age) were included. Clinical history, anthropometry, transvaginal ultrasound and a leuprolide acetate test (10 μg/kg s.c.) were performed. Gonadotrophins, steroid hormones, SHBG, inhibin B and AMH were determined. Results Basal and peak LH levels were similar in both groups. Basal and peak FSH levels were significantly higher in the control group. Androgens, peak oestradiol, ovarian volume, antral follicle count and AMH levels were significantly higher in PCOS patients. Conclusion These observations suggest that during late reproductive age, gonadotrophin secretion in women with PCOS is clearly different from that observed in control women and may also differ from that of younger PCOS patients. New features like normal LH and lower FSH levels associated with a higher ovarian reserve may give a different reproductive profile to these women.</description><identifier>ISSN: 0301-2115</identifier><identifier>EISSN: 1872-7654</identifier><identifier>DOI: 10.1016/j.ejogrb.2013.06.013</identifier><identifier>PMID: 23845170</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Adult ; Aging - physiology ; Anti-Mullerian Hormone - blood ; Case-Control Studies ; Female ; Follicle Stimulating Hormone - blood ; Gonadal axis ; Humans ; Late reproductive age ; Luteinizing Hormone - blood ; Obstetrics and Gynecology ; Ovarian reserve ; Ovary - cytology ; Ovary - physiopathology ; Polycystic ovary syndrome ; Polycystic Ovary Syndrome - blood ; Polycystic Ovary Syndrome - physiopathology</subject><ispartof>European journal of obstetrics &amp; gynecology and reproductive biology, 2013-09, Vol.170 (1), p.165-170</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2013 Elsevier Ireland Ltd</rights><rights>Copyright © 2013 Elsevier Ireland Ltd. 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Study design Forty PCOS patients and 35 healthy women (35–40 years of age) were included. Clinical history, anthropometry, transvaginal ultrasound and a leuprolide acetate test (10 μg/kg s.c.) were performed. Gonadotrophins, steroid hormones, SHBG, inhibin B and AMH were determined. Results Basal and peak LH levels were similar in both groups. Basal and peak FSH levels were significantly higher in the control group. Androgens, peak oestradiol, ovarian volume, antral follicle count and AMH levels were significantly higher in PCOS patients. Conclusion These observations suggest that during late reproductive age, gonadotrophin secretion in women with PCOS is clearly different from that observed in control women and may also differ from that of younger PCOS patients. 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gynecology and reproductive biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Guevara, Amanda Ladrón</au><au>Crisosto, Nicolás</au><au>Echiburú, Bárbara</au><au>Preisler, Jessica</au><au>Vantman, Natalie</au><au>Bollmann, Josefina</au><au>Pérez-Bravo, Francisco</au><au>Sir-Petermann, Teresa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of ovarian function in 35–40-year-old women with polycystic ovary syndrome</atitle><jtitle>European journal of obstetrics &amp; gynecology and reproductive biology</jtitle><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><date>2013-09-01</date><risdate>2013</risdate><volume>170</volume><issue>1</issue><spage>165</spage><epage>170</epage><pages>165-170</pages><issn>0301-2115</issn><eissn>1872-7654</eissn><abstract>Abstract Objective To assess gonadotrophin secretion, ovarian steroid production and ovarian reserve in PCOS women during the onset of reproductive decline, in order to characterize their ovarian function at this age. 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subjects Adult
Aging - physiology
Anti-Mullerian Hormone - blood
Case-Control Studies
Female
Follicle Stimulating Hormone - blood
Gonadal axis
Humans
Late reproductive age
Luteinizing Hormone - blood
Obstetrics and Gynecology
Ovarian reserve
Ovary - cytology
Ovary - physiopathology
Polycystic ovary syndrome
Polycystic Ovary Syndrome - blood
Polycystic Ovary Syndrome - physiopathology
title Evaluation of ovarian function in 35–40-year-old women with polycystic ovary syndrome
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