The incidence and features of subclinical Cushing’s syndrome in women with polycystic ovaries

Authors

  • Yu.M. Urmanova Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan Republican Specialized Scientific and Practical Medical Centre of Endocrinology of Ministry of Health of the Republic of Uzbekistan, Tashkent, Uzbekistan
  • Z.Yu. Khalimova Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan Republican Specialized Scientific and Practical Medical Centre of Endocrinology of Ministry of Health of the Republic of Uzbekistan, Tashkent, Uzbekistan
  • G.D. Narimova Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan Republican Specialized Scientific and Practical Medical Centre of Endocrinology of Ministry of Health of the Republic of Uzbekistan, Tashkent, Uzbekistan
  • H.R. Madaminova Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan Republican Specialized Scientific and Practical Medical Centre of Endocrinology of Ministry of Health of the Republic of Uzbekistan, Tashkent, Uzbekistan
  • M.B. Abduvahabova Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan Republican Specialized Scientific and Practical Medical Centre of Endocrinology of Ministry of Health of the Republic of Uzbekistan, Tashkent, Uzbekistan
  • D.A. Alieva Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan Republican Specialized Scientific and Practical Medical Centre of Endocrinology of Ministry of Health of the Republic of Uzbekistan, Tashkent, Uzbekistan
  • D.Sh. Holova Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan Republican Specialized Scientific and Practical Medical Centre of Endocrinology of Ministry of Health of the Republic of Uzbekistan, Tashkent, Uzbekistan
  • H.O. Alimukhamedova Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan Republican Specialized Scientific and Practical Medical Centre of Endocrinology of Ministry of Health of the Republic of Uzbekistan, Tashkent, Uzbekistan
  • M.M. Karimova Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan Republican Specialized Scientific and Practical Medical Centre of Endocrinology of Ministry of Health of the Republic of Uzbekistan, Tashkent, Uzbekistan
  • F.S. Hodjaeva Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan Republican Specialized Scientific and Practical Medical Centre of Endocrinology of Ministry of Health of the Republic of Uzbekistan, Tashkent, Uzbekistan
  • H.K. Nasirova Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan Republican Specialized Scientific and Practical Medical Centre of Endocrinology of Ministry of Health of the Republic of Uzbekistan, Tashkent, Uzbekistan
  • N.T. Rihsieva Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan Republican Specialized Scientific and Practical Medical Centre of Endocrinology of Ministry of Health of the Republic of Uzbekistan, Tashkent, Uzbekistan

DOI:

https://doi.org/10.22141/2224-0721.13.3.2017.104112

Keywords:

polycystic ovary syndrome, subclinical Cushing’s syndrome

Abstract

Background. The purpose of investigation is to study the incidence of subclinical Cushing’s syndrome in women with polycystic ovary syndrome (PCOS). Materials and methods. Under our supervision, there were 120 patients of fertile age with PCOS. The average age of patients was 25.5 ± 4.3 years. Twenty healthy women of corresponding age made a control group. The complex of researches, including clinical, biochemical, hormonal (luteinizing hormone (LH), follicle-stimulating hormone (FSH), prolactin, estradiol, progesterone, dehydroepiandrostendion, 17-hydroxyprogesterone, anti-Mullerian hormone, insulin on day 14 of cycle), was performed in all patients, as well as ultrasonography of the uterus and ovaries with folliculometry in dyna­mics, and also magnetic resonance imaging and survey of patients. Results. Patients were divided into three groups: with primary PCOS (19 %), with secondary PCOS and obesity (74 %), with secondary PCOS and subclinical Cushing’s syndrome (7 %).
In the first group of patients, a significant decrease of pituitary and ovarian hormones has been registered on the background of hyperandrogenemia. In the third group of patients, a signifi­cant decrease of pituitary hormones was also detected on the background of hyperandrogenemia. Conclusions. The most significant violations in the system of pituitary-ovarian function were found in the third group of patients with subclinical Cu­shing’s syndrome, at that, a significant decrease in the functional state of pituitary-gonadal system was marked, namely decline of LH, FSH, estradiol and progesterone on the background of hyperandrogenemia and hypercortisolemia. The incidence of subclinical Cushing’s syndrome among women with PCOS is 6.6 %. In future, it is necessary to monitor in dynamics the pro­bability of recovery of fertility in all groups of patients with PCOS

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Published

2021-09-02

How to Cite

Urmanova, Y., Khalimova, Z., Narimova, G., Madaminova, H., Abduvahabova, M., Alieva, D., Holova, D., Alimukhamedova, H., Karimova, M., Hodjaeva, F., Nasirova, H., & Rihsieva, N. (2021). The incidence and features of subclinical Cushing’s syndrome in women with polycystic ovaries. INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine), 13(3), 157–161. https://doi.org/10.22141/2224-0721.13.3.2017.104112

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