Polycystic ovary–like syndrome in adolescent competitive swimmers

Coste, Olivier; Paris, Florentin; Galtier, Florence; Letois, F.; Maı̈moun, Laurent; Sultan, Charles

doi:10.1016/j.fertnstert.2011.07.006

Cited by 24 publications

(20 citation statements)

References 57 publications

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“…PCOS appears to be a common disorder among elite female athletes (21,22,23,26,27,28,29) and is, indeed, the most frequent cause of menstrual disorders among Olympic sportswomen (23). We have demonstrated elevated diurnal secretion of LH and testosterone by athletes with PCOS than by those without (Fig.…”

Section: Polycystic Ovary Syndromementioning

confidence: 58%

“…Serum levels of testosterone correlated positively with increased muscle strength in the PCOS group (61). Furthermore, polycystic ovaries and PCOS are overrepresented among Olympic sportswomen, as well as other athletic populations (23,26,27,28,29). These observations indicate that mild forms of hyperandrogenism such as PCOS may improve physical performance and thereby play a role in the decision by women to participate in competitive sports.…”

Section: Polycystic Ovary Syndromementioning

confidence: 79%

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Female hyperandrogenism and elite sport

Hirschberg

2020

Endocrine Connections

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Emerging evidence indicates that testosterone, which can increase muscle mass and strength, stimulates erythropoiesis, promotes competitive behaviour, and enhances the physical performance of women. Indeed, the levels of testosterone within the normal female range are related to muscle mass and athletic performance in female athletes. Furthermore, among these athletes, the prevalence of hyperandrogenic conditions, including both polycystic ovary syndrome and rare differences/disorders of sex development (DSD), which may greatly increase testosterone production, are elevated. Thus, if the androgen receptors of an individual with XY DSD are functional, her muscle mass will develop like that of a man. These findings have led to the proposal that essential hyperandrogenism is beneficial for athletic performance and plays a role in the choice by women to compete in athletic activities. Moreover, a recent randomized controlled trial demonstrated a significant increase in the lean mass and aerobic performance by young exercising women when their testosterone levels were enhanced moderately. Circulating testosterone is considered the strongest factor to explain the male advantage in sport performance, ranging between 10 and 20%. It appears to be unfair to allow female athletes with endogenous testosterone levels in the male range (i.e. 10–20 times higher than normal) to compete against those with normal female androgen levels. In 2012, this consideration led international organizations to establish eligibility regulations for the female classification in order to ensure fair and meaningful competition, but the regulations are controversial and have been challenged in court.

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Section: Polycystic Ovary Syndromementioning

confidence: 58%

Section: Polycystic Ovary Syndromementioning

confidence: 79%

Female hyperandrogenism and elite sport

Hirschberg

2020

Endocrine Connections

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“…• In certain elite sports, we have observed PCOS-like symptoms in a signifi cant percentage of adolescent athletes (50 % vs 22 % in the control group) [ 4 ].…”

Section: Pcos During Pubertymentioning

confidence: 75%

Management of Adolescent Hyperandrogenism

2015

Self Cite

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“…In some athletes with menstrual disorders, in particular swimmers [ 61 , 62 ] and endurance athletes [ 63 ], another endocrine status characterized by mild hyperandrogenism has been described. Rickenlund and colleagues reported that T, LH, and PRL correlate positively and cortisol negatively with the number of menstruations per year and that hyperandrogenism is more frequent in oligomenorrheic than in amenorrheic athletes.…”

Section: Introductionmentioning

confidence: 99%

“…In adolescent competitive swimmers, a high prevalence of hyperandrogenism has been shown [ 62 ]. Over 60% had T level > 0.5 ng/mL, a serum T cutoff that in adolescents is considered the upper limit; 50% had menstrual disorders and about 45% presented the Rotterdam criteria for PCOS.…”

Section: Introductionmentioning

confidence: 99%

Sport, doping and female fertility

Vignera

Condorelli

Cannarella

et al. 2018

Reprod Biol Endocrinol

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This article is a review that addresses the following topics, divided by paragraphs. The first paragraph investigates the effects of physical activity on ovarian function, analyzing in particular the changes concerning the serum concentrations of follicle-stimulating hormone, luteinizing hormone, prolactin, growth hormone, thyroid hormones, leptin, ghrelin, neuropeptide Y. The second paragraph analyzes the effects of doping on the hypothalamic-pituitary-ovarian axis. Finally, the last paragraph analyzes the PCOS category, evaluating the effects of hyperandrogenism in relation to athletic performance.

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Polycystic ovary–like syndrome in adolescent competitive swimmers

Cited by 24 publications

References 57 publications

Female hyperandrogenism and elite sport

Female hyperandrogenism and elite sport

Management of Adolescent Hyperandrogenism

Sport, doping and female fertility

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