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Free Testosterone Reflects Metabolic as well as Ovarian Disturbances in Subfertile Oligomenorrheic Women
被引:24
作者:

Antonio, L.
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机构:
Katholieke Univ Leuven, Dept Chron Dis Metab & Ageing CHROMETA, Lab Clin & Expt Endocrinol, Leuven, Belgium
Univ Hosp Leuven, Dept Endocrinol, Leuven, Belgium Katholieke Univ Leuven, Dept Chron Dis Metab & Ageing CHROMETA, Lab Clin & Expt Endocrinol, Leuven, Belgium

Pauwels, S.
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Univ Hosp Leuven, Dept Lab Med, Leuven, Belgium
Katholieke Univ Leuven, Dept Cardiovasc Sci, Leuven, Belgium Katholieke Univ Leuven, Dept Chron Dis Metab & Ageing CHROMETA, Lab Clin & Expt Endocrinol, Leuven, Belgium

Laurent, M. R.
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机构:
Katholieke Univ Leuven, Lab Mol Endocrinol, Dept Cellular & Mol Med, Leuven, Belgium Katholieke Univ Leuven, Dept Chron Dis Metab & Ageing CHROMETA, Lab Clin & Expt Endocrinol, Leuven, Belgium

Vanschoubroeck, D.
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Univ Hosp Leuven, Dept Obstet & Gynecol, Leuven, Belgium Katholieke Univ Leuven, Dept Chron Dis Metab & Ageing CHROMETA, Lab Clin & Expt Endocrinol, Leuven, Belgium

Jans, I
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Univ Hosp Leuven, Dept Lab Med, Leuven, Belgium Katholieke Univ Leuven, Dept Chron Dis Metab & Ageing CHROMETA, Lab Clin & Expt Endocrinol, Leuven, Belgium

Billen, J.
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机构:
Univ Hosp Leuven, Dept Lab Med, Leuven, Belgium Katholieke Univ Leuven, Dept Chron Dis Metab & Ageing CHROMETA, Lab Clin & Expt Endocrinol, Leuven, Belgium

Claessens, F.
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机构:
Katholieke Univ Leuven, Lab Mol Endocrinol, Dept Cellular & Mol Med, Leuven, Belgium Katholieke Univ Leuven, Dept Chron Dis Metab & Ageing CHROMETA, Lab Clin & Expt Endocrinol, Leuven, Belgium

Decallonne, B.
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机构:
Katholieke Univ Leuven, Dept Chron Dis Metab & Ageing CHROMETA, Lab Clin & Expt Endocrinol, Leuven, Belgium
Univ Hosp Leuven, Dept Endocrinol, Leuven, Belgium Katholieke Univ Leuven, Dept Chron Dis Metab & Ageing CHROMETA, Lab Clin & Expt Endocrinol, Leuven, Belgium

De Neubourg, Diane
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机构:
Antwerp Univ Hosp, Dept Reprod Med, Edegem, Belgium Katholieke Univ Leuven, Dept Chron Dis Metab & Ageing CHROMETA, Lab Clin & Expt Endocrinol, Leuven, Belgium

Vermeersch, P.
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机构:
Univ Hosp Leuven, Dept Lab Med, Leuven, Belgium
Katholieke Univ Leuven, Dept Cardiovasc Sci, Leuven, Belgium Katholieke Univ Leuven, Dept Chron Dis Metab & Ageing CHROMETA, Lab Clin & Expt Endocrinol, Leuven, Belgium

Vanderschueren, D.
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h-index: 0
机构:
Katholieke Univ Leuven, Dept Chron Dis Metab & Ageing CHROMETA, Lab Clin & Expt Endocrinol, Leuven, Belgium
Univ Hosp Leuven, Dept Endocrinol, Leuven, Belgium
Univ Hosp Leuven, Dept Lab Med, Leuven, Belgium Katholieke Univ Leuven, Dept Chron Dis Metab & Ageing CHROMETA, Lab Clin & Expt Endocrinol, Leuven, Belgium
机构:
[1] Katholieke Univ Leuven, Dept Chron Dis Metab & Ageing CHROMETA, Lab Clin & Expt Endocrinol, Leuven, Belgium
[2] Univ Hosp Leuven, Dept Endocrinol, Leuven, Belgium
[3] Univ Hosp Leuven, Dept Lab Med, Leuven, Belgium
[4] Katholieke Univ Leuven, Dept Cardiovasc Sci, Leuven, Belgium
[5] Katholieke Univ Leuven, Lab Mol Endocrinol, Dept Cellular & Mol Med, Leuven, Belgium
[6] Univ Hosp Leuven, Dept Obstet & Gynecol, Leuven, Belgium
[7] Antwerp Univ Hosp, Dept Reprod Med, Edegem, Belgium
关键词:
HORMONE-BINDING GLOBULIN;
POLYCYSTIC-OVARY;
POSITION STATEMENT;
SOCIETY;
UTILITY;
ASSOCIATION;
ANOVULATION;
DIAGNOSIS;
ACCURACY;
CRITERIA;
D O I:
10.1155/2018/7956951
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Background. Diagnosing polycystic ovary syndrome (PCOS) is based on ovulatory dysfunction, ovarian ultrasound data, and androgen excess. Total testosterone is frequently used to identify androgen excess, but testosterone is mainly bound to sex hormone-binding globulin (SHBG) and albumin. Only 1-2% of nonprotein-bound testosterone (so-called free testosterone) is biologically active and responsible for androgen action. Moreover, automated immunoassays which are frequently used for female testosterone measurements are inaccurate. Objective. To assess the clinical usefulness of liquid chromatography-tandem mass spectrometry measured testosterone and calculated free testosterone in subfertile women attending a fertility clinic with oligomenorrhea and suspected PCOS. Methods. Hormonal and metabolic parameters were evaluated, and ovarian ultrasound was performed. Total testosterone was measured by liquid chromatography-tandem mass spectrometry. Free testosterone was calculated from total testosterone and SHBG. Results. Sixty-six women were included in the study. Total testosterone was associated with ovarian volume and antral follicle count but not with metabolic parameters. However, SHBG and calculated free testosterone were associated with both ovarian ultrasound and metabolic parameters, such as BMI and insulin resistance. Conclusions. Assessing SHBG and free testosterone is important in evaluating androgen excess in subfertile women with ovulatory dysfunction and suspected PCOS, as it reflects both ovarian and metabolic disturbances.
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h-index: 0
机构:
Vrije Univ Amsterdam Med Ctr, Dept Clin Chem, Endocrine Lab, NL-1081HV Amsterdam, Netherlands Vrije Univ Amsterdam Med Ctr, Dept Clin Chem, Endocrine Lab, NL-1081HV Amsterdam, Netherlands
[9]
The polycystic ovary syndrome: a position statement from the European Society of Endocrinology
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Conway, Gerard
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Dewailly, Didier
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Diamanti-Kandarakis, Evanthia
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Escobar-Morreale, Hector F.
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Franks, Stephen
;
Gambineri, Alessandra
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Kelestimur, Fahrettin
;
Macut, Djuro
;
Micic, Dragan
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Pasquali, Renato
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Pfeifer, Marija
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Pignatelli, Duarte
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Pugeat, Michel
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Yildiz, Bulent O.
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EUROPEAN JOURNAL OF ENDOCRINOLOGY,
2014, 171 (04)
:P1-P29

Conway, Gerard
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Coll London Hosp, Dept Endocrinol, London NW1 2BU, England Univ Coll London Hosp, Dept Endocrinol, London NW1 2BU, England

Dewailly, Didier
论文数: 0 引用数: 0
h-index: 0
机构:
Hop Jeanne de Flandre, Ctr Hosp Lille, Dept Endocrine Gynaecol & Reprod Med, Lille, France Univ Coll London Hosp, Dept Endocrinol, London NW1 2BU, England

Diamanti-Kandarakis, Evanthia
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Athens, Sch Med, Dept Med 3, Endocrine Unit, GR-11527 Athens, Greece Univ Coll London Hosp, Dept Endocrinol, London NW1 2BU, England

Escobar-Morreale, Hector F.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Alcala, Dept Endocrinol & Nutr, Madrid, Spain
Hosp Univ Ramon y Cajal, Madrid, Spain
Ctr Invest Biomed Red Diabet & Enfermedades Metab, Madrid, Spain
Inst Ramon y Cajal Invest Sanitaria IRYCIS, Madrid, Spain Univ Coll London Hosp, Dept Endocrinol, London NW1 2BU, England

Franks, Stephen
论文数: 0 引用数: 0
h-index: 0
机构:
Univ London Imperial Coll Sci Technol & Med, Inst Reprod & Dev Biol, London, England Univ Coll London Hosp, Dept Endocrinol, London NW1 2BU, England

Gambineri, Alessandra
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Alma Mater Studiorum, St Orsola Malpighi Hosp, Dept Med & Surg Sci, Div Endocrinol, I-40138 Bologna, Italy Univ Coll London Hosp, Dept Endocrinol, London NW1 2BU, England

Kelestimur, Fahrettin
论文数: 0 引用数: 0
h-index: 0
机构:
Erciyes Univ, Sch Med, Dept Endocrinol, Kayseri, Turkey Univ Coll London Hosp, Dept Endocrinol, London NW1 2BU, England

Macut, Djuro
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Belgrade, Sch Med, Clin Endocrinol Diabet & Metab Dis, Belgrade, Serbia Univ Coll London Hosp, Dept Endocrinol, London NW1 2BU, England

Micic, Dragan
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Belgrade, Sch Med, Clin Endocrinol Diabet & Metab Dis, Belgrade, Serbia Univ Coll London Hosp, Dept Endocrinol, London NW1 2BU, England

Pasquali, Renato
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Alma Mater Studiorum, St Orsola Malpighi Hosp, Dept Med & Surg Sci, Div Endocrinol, I-40138 Bologna, Italy Univ Coll London Hosp, Dept Endocrinol, London NW1 2BU, England

Pfeifer, Marija
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Ljubljana, Fac Med, Univ Med Ctr, Dept Endocrinol Diabet & Metab Dis, Ljubljana, Slovenia Univ Coll London Hosp, Dept Endocrinol, London NW1 2BU, England

Pignatelli, Duarte
论文数: 0 引用数: 0
h-index: 0
机构:
Hosp Sao Joao, Fac Med Porto, Dept Endocrinol, Porto, Portugal Univ Coll London Hosp, Dept Endocrinol, London NW1 2BU, England

Pugeat, Michel
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Lyon 1, INSERM, Hosp Civils Lyon, Grp Hosp Est, F-69365 Lyon, France Univ Coll London Hosp, Dept Endocrinol, London NW1 2BU, England

Yildiz, Bulent O.
论文数: 0 引用数: 0
h-index: 0
机构:
Hacettepe Univ, Sch Med, Dept Internal Med, Div Endocrinol & Metab, Ankara, Turkey Univ Coll London Hosp, Dept Endocrinol, London NW1 2BU, England
[10]
Reanalyzing the modified Ferriman-Gallwey score: is there a simpler method for assessing the extent of hirsutism?
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Cook, Heather
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Brennan, Kathleen
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Azziz, Ricardo
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FERTILITY AND STERILITY,
2011, 96 (05)
:1266-U236

Cook, Heather
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Calif Los Angeles, David Geffen Sch Med, Dept Obstet & Gynecol, Los Angeles, CA 90095 USA Georgia Hlth Sci Univ, Augusta, GA 30912 USA

Brennan, Kathleen
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Calif Los Angeles, David Geffen Sch Med, Dept Obstet & Gynecol, Los Angeles, CA 90095 USA
Cedars Sinai Med Ctr, Dept Obstet & Gynecol, Los Angeles, CA 90048 USA Georgia Hlth Sci Univ, Augusta, GA 30912 USA

Azziz, Ricardo
论文数: 0 引用数: 0
h-index: 0
机构:
Georgia Hlth Sci Univ, Augusta, GA 30912 USA Georgia Hlth Sci Univ, Augusta, GA 30912 USA