Prevalence and clinical features of polycystic ovarian syndrome in adolescents with previous childhood growth hormone deficiency

Abstract

Background: Growth hormone (GH) plays a role in the regulation of ovarian function but there are limited data in women with GH deficiency (GHD). Our aim was to evaluate the features of polycystic ovarian syndrome (PCOS) in women with previous GHD. Methods: Data of 22 adolescents previously GH-treated (group A) were compared with those of 22 women with classical PCOS (group B) and 20 controls (group C). Results: Group A showed higher testosterone (p = 0.048) and prevalence of menstrual irregularities (p < 0.001) than group C. Compared to the group B, group A showed lower diastolic blood pressure (p = 0.004), degree of hirsutism (p = 0.005), testosterone (p = 0.003) and prevalence of polycsytic ovaries (POC) morphology (p = 0.024), with higher HDL-cholesterol (p = 0.035) and 17-β-estradiol (p = 0.009). Conclusions: Adolescents with previous GHD show a higher prevalence of PCOS than controls, but with milder metabolic and hormonal features than adolescents with classical PCOS. A careful long-term follow-up is advisable in these patients.

Studying Cytotoxic T-lymphocyte- Associated Antigen-4 (CTLA-4) gene Polymorphism in a Sample of Iraqi Women with Polycystic Ovarian Syndrome

“…Polycystic ovary syndrome (PCOS) considers the most common cause of chronic hyperandrogenism, anovulation and infertility in young women [14] . Considerable evidence suggests that PCOS has diverse causes, arising as a complex trait with contributions from both heritable and environmental factors that affect ovarian steroidogenesis [15] .…”