Volumen ovárico y valores hormonales en síndrome de ovario poliquístico

Abstract

BackgroundPolycystic ovary syndrome is characterized by clinical and biochemical hyperandrogenism, polycystic ovary morphology, altered gonadotropin secretion, insulin resistance, and/or hyperinsulinemia associated with obesity. ObjectiveTo compare the correlations between hormone levels of FSH, LH, estradiol, AMH, and antral follicle numbers in women with polycystic ovary syndrome. Patients and methodsPatients were grouped according to the presence of oligomenorrhea and amenorrhea. Levels of AHM, FSH, LH and estradiol were determined and transvaginal ultrasound was performed to determine ovarian volume and the number of antral follicles. ResultsAnalysis by Pearson correlation revealed a significant correlation (0.283, p=.01) between AMH and the number of antral follicles: the higher the number of antral follicles, the higher the concentrations of AMH. Linear correlation showed that AMH levels were positively correlated with the number of antral follicles (r=0.303, p=.002). FSH and LH were negatively correlated with the number of antral follicles in both groups (r=-0.182, p=.05). Ovarian volume was positively correlated with the number of follicles (r=0.708, p=.000). ConclusionsWe believe that AHM can be used as a marker in conjunction with ultrasound values to assess ovarian reserve in future.