LIPID PROFILES IN WOMEN WITH HIRSUTISM AND POLYCYSTIC OVARIES

被引:15
作者
SENOZ, S [1 ]
OZAKSIT, G [1 ]
TURHAN, NO [1 ]
GULEKLI, B [1 ]
GOKMEN, O [1 ]
机构
[1] DR ZEKAI TAHIR BURAK WOMENS HOSP,DEPT REPROD ENDOCRINOL,ANKARA,TURKEY
关键词
HIRSUTISM; HYPERANDROGENISM; LIPOPROTEIN LIPIDS; POLYCYSTIC OVARIES;
D O I
10.3109/09513599409028455
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We examined the correlation between hyperandrogenemia and lipid profiles in 25 hirsute patients with polycystic ovary syndrome in our reproductive endocrinology outpatient clinic. Concentrations of triglycerides, low density lipoprotein cholesterol and total cholesterol were increased and concentrations of high density lipoprotein (HDL) cholesterol were decreased in women with severe hirsutism. Total and free testosterone levels were correlated with triglycerides (r = 0.72, p < 0.05; r = 0.55, p < 0.01, respectively) and HDL cholesterol (r = -0.55; p < 0.05; r = -0.68, p < 0.05, respectively). There was no correlation between levels of androstenedione, dehydroepiandrosterone sulfate or 17-OH progesterone and any parameters of the lipid profiles. In those with a luteinizing hormone/follicle stimulating hormone ratio greater-than-or-equal-to 1.5, total testosterone levels were higher than in those with a lower ratio (129.5 +/- 6.4 vs. 95.2 +/- 9.2 ng/dl, p < 0.05), HDL cholesterol levels were lower (45.2 +/- 4.2 vs. 60.4 +/- 4.8 mg/dl, p < 0.05) and triglyceride levels were higher (138.1 +/- 4.5 vs. 92.6 +/- 6.1 mg/dl, p < 0.001). We conclude that altered lipid profiles in women with hirsutism are a result of high testosterone levels.
引用
收藏
页码:33 / 37
页数:5
相关论文
共 13 条
[1]  
Wild K.A., Painter P.C., Coulson P.B., Carruth K.B., Ranney G.B., Lipoprotein lipid concentrations and cardiovascular risk in women with polycystic ovary syndrome, J. Clin. Endocrinol. Metab., 61, pp. 946-951, (1985)
[2]  
Chetkowski D.J., DeFagio J., Shamonki I.M., Judd H.L., Chang R.J., The incidence of late onset congenital adrenal hyperplasia due to 21-hydroxylase deficiency among hirsute women, J. Chi. Endocinol. Metab., 58, pp. 595-598, (1984)
[3]  
Lobo R.A., Kletzky O.A., Campeau J.D., Elevated bioactive luteinizing hormone in women with the polycystic ovary syndrome, Fertil. Steril., 39, (1983)
[4]  
Ferriman D., Gallwey J.D., Clinical assessment of body hair growth in women, J. Clin. Endocrinol. Metab., 21, (1961)
[5]  
Mattson L.A., Cullberg G., Hamberger L., Samsioe G., Silfverstolp G., Lipid metabolism in women with polycystic ovary syndrome: possible implications for an increased risk of coronary heart disease, Fertil. Steril., 42, (1984)
[6]  
Taye T.B., Crapo L., The Cushing syndrome: an update on diagnostic tests, Ann. Intern. Med., 112, (1990)
[7]  
Derksen J., Haak H.K., Moolenaar A.J., van Seters A.P., Endocrine evaluation of hirsute women to detect adrenal cancer, J. Steroid Biochem., 36, suppl., (1990)
[8]  
Glickman S.P., Rosenfield K.L., Bergenstal K.M., Helke J., Multiple androgenic abnormalities, including elevated free testosterone, in hyperprolactinemic women, J. Clin. Endocrinol. Metab., 55, (1982)
[9]  
Goldzieher J.W., Axelrod L.K., Clinical and biochemical features of polycystic ovarian disease, Fertil. Steril., 14, (1963)
[10]  
Lobo K.A., Goebelsmann U., Horton R., Evidence for the importance of peripheral tissue events in the development of hirsutism in polycystic ovary syndrome, J. Clin. Endocrinol. Metab., 57, (1983)