| Autor: |
Asanidze E; Faculty of Medicine, Center for Reproductive Medicine 'Universe', Javakhishvili Tbilisi State University , Tbilisi , Georgia., Kristesashvili J; Faculty of Medicine, Center for Reproductive Medicine 'Universe', Javakhishvili Tbilisi State University , Tbilisi , Georgia., Pkhaladze L; Archil Khomasuridze Institute of Reproductology , Tbilisi , Georgia., Khomasuridze A; Archil Khomasuridze Institute of Reproductology , Tbilisi , Georgia. |
| Jazyk: |
angličtina |
| Zdroj: |
Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology [Gynecol Endocrinol] 2019 Nov; Vol. 35 (11), pp. 974-977. Date of Electronic Publication: 2019 May 22. |
| DOI: |
10.1080/09513590.2019.1616689 |
| Abstrakt: |
A prospective study was carried out in 110 adolescents (13-19 years), 90 patients with polycystic ovary syndrome (PCOS) (study group) and 20 healthy adolescents (control group). The study group was divided into two: Group I - patients without insulin resistance ( n = 30) and Group II - patients with insulin resistance ( n = 60). Group I was treated with oral contraceptives (OCs), while Group II was divided into treatment subgroups of 20 patients each: Subgroup A received OCs; Subgroup B - myo-inositol; subgroup C - OCs + myo-inositol. Data were analyzed at baseline, 3 and 6 months of treatment. Results showed average anti-Mullerian hormone (AMH) levels were significantly higher in PCOS patients (11.8 ± 5.3 ng/ml) than in controls (2.98 ± 4.5 ng/ml). After treatment, in Group I and Group II Subgroup A: AMH, luteinizing hormone (LH), free testosterone (FT), total testosterone (T), Ov/v, antral follicle count (AFC), and Ferriman-Gallwey modified scale (mFG) significantly decreased, homeostatic model assessment-insulin resistance (HOMA-IR), body mass index (BMI) did not change significantly. In Group II Subgroup B only HOMA-IR and BMI significantly decreased; in Subgroup C all the parameters decreased significantly. The correlation between AMH and hormonal, morphological characteristics of ovaries were established. The results indicate that AMH could possibly be a valuable marker for the diagnosis of PCOS in adolescents, and for the assessment of treatment efficacy as well. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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