Page No. 30-34
Association of Hormonal status with Anthropometric & Biochemical Parameters in women with Polycystic Ovarian Syndrome
Authors: Ashok Kumar Shah, Monu Sarin, Busi Karunanand, SC Mohapatra, Sajad Ahmad Bhat
Number of views: 433
Background: Polycystic ovarian syndrome (PCOS) is the metabolic endocrine disorder that affects 4–12% women of
reproductive age and is a major cause of anovulatory infertility. Besides reproductive and obstetric complications, the
consequences of PCOS extend beyond the reproductive axis and may lead to the substantial risk for the development of
metabolic syndrome with the characteristic features of insulin resistance, central obesity, impaired glucose tolerance,
dyslipidemia and hypertension.
Objectives: To evaluate the hormonal status and its association with the anthropometric measurements and biochemical
parameters in females diagnosed with PCOS.
Materials & Methods: In this case-control study, women clinically diagnosed with PCOS (N=85) and age matched healthy
control female subjects (N=85) in the age group (18 – 35) years were enrolled. Body mass index (BMI), waist: hip ratio (WHR),
Fasting Blood Glucose, Lipid profile and Hormonal levels were estimated in both the groups and further compared using student
t-test. Hormonal levels were also correlated with the anthropometric measurements & biochemical parameters and the results
were analyzed using Pearson’s correlation coefficients.
Results: We found that the levels of TSH, LH, FSH, LH/FSH ratio & prolactin were significantly raised in PCOS females as
compared to healthy females (P < 0.0001). TSH showed significant positive correlation with anthropometric measurements
(BMI, waist-to-hip ratio), biochemical parameters (TC, TG, LDL & TC/HDL ratio) and hormonal profile (LH, FSH, LH/FSH
ratio & Prolactin) of PCOS women.
Discussion & Conclusion: We found that there is a derangement in hormonal & biochemical status of women suffering from
PCOS that leads to an altered energy metabolism and endocrinological cascade of PCOS. Furthermore, our study showed high
prevalence of hypothyroidism, dyslipidemia and increased levels of LH, FSH, PRL & a higher LH/FSH ratio in women with
PCOS, which may further contribute towards the progress of metabolic disorders, irregular menstruation and infertility.