Prevalence of hyperandrogenemia among nonhirsute oligo-ovulatory women.

Abstract:

OBJECTIVE:To test the hypothesis that oligo-ovulatory ovulation is associated with hyperandrogenemia in the absence of other clinical signs of androgen excess. DESIGN:Retrospective cohort controlled. SETTING:Tertiary care university-based outpatient clinic. PATIENT(S):Thirty-two consecutive nonhirsute oligo-ovulatory women and 37 healthy eumenorrheic controls. INTERVENTION(S):All study subjects underwent a physical exam and blood sampling in the follicular phase of the menstrual cycle. MAIN OUTCOME MEASURE(S):Serum was assayed for total T, sex hormone-binding globulin (SHBG), androstenedione (A), and DS, and the free T level was calculated. RESULT(S):Mean free T was higher and SHBG was lower in oligo-ovulatory patients compared with controls. The oligo-ovulatory patients were subdivided according to severity of menstrual abnormalities into those with cycles < 45 days (n = 19, oligo-ovulatory-short) and > or = 45 days (n = 13, oligo-ovulatory-long). Oligo-ovulatory-long and -short patients had similar mean DS, A, and total T levels; but mean free T was higher and SHBG was lower in oligo-ovulatory-long patients compared with either oligo-ovulatory-short women or controls. Five of 13 (38%) oligo-ovulatory-long patients had at least one abnormal androgen value compared with 1 of 19 (5%) oligo-ovulatory-short patients, which was a significant difference. CONCLUSION(S):Approximately 40% of nonhirsute oligo-ovulatory women with cycle intervals > or = 45 days demonstrate at least one abnormally elevated androgen level, suggesting that they may have a discrete form of the polycystic ovary syndrome. Furthermore, this data brings into question the sensitivity of hirsutism as a marker for hyperandrogenemia.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Allen SE,Potter HD,Azziz R

doi

10.1016/s0015-0282(97)80089-1

subject

Has Abstract

pub_date

1997-03-01 00:00:00

pages

569-72

issue

3

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(97)80089-1

journal_volume

67

pub_type

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