Abstract
OBJECTIVE
To evaluate adrenomedullin levels in patients with polycystic ovary syndrome (PCOS).
DESIGN
Prospective study.
SETTING
Department of obstetrics and gynecology in a university hospital.
PATIENT(S)
Thirty-eight women with PCOS and 29 healthy control subjects were enrolled in the study.
INTERVENTION(S)
Plasma adrenomedullin, serum androstenedione, free T, T, DHEAS, SHBG, thyrotropin, PRL, FSH, LH, and E2 were measured in each subject. Insulin resistance was estimated by fasting insulin level, fasting glucose:insulin ratio and 75-g glucose tolerance test for 2 hours.
MAIN OUTCOME MEASURE(S)
Plasma adrenomedullin levels and correlations among adrenomedullin and gonadotropins, female sex steroids, androgens, and insulin resistance.
RESULT(S)
There was no significant difference concerning plasma adrenomedullin concentrations between the groups. In patients with PCOS, fasting glucose, fasting insulin, body mass index, and free T were inversely correlated with the plasma adrenomedullin. Plasma adrenomedullin was significantly correlated with glucose:insulin ratio. After controlling for body mass index, there were no significant correlations between the above-mentioned parameters.
CONCLUSION(S)
Adrenomedullin may play a role in regulating the insulin metabolism in patients with PCOS.
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