Correlation of Hypothyroidism with Polycystic Ovary Syndrome (PCOS): A Hospital-Based Cross-Sectional Study, Benha City, Egypt | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 52, Volume 92, Issue 1, July 2023, Page 5807-5812 PDF (495.39 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2023.309017 | ||||
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| Abstract | ||||
| Background: The precise relationship between polycystic ovarian syndrome (PCOS) and thyroid gland function is still unknown. However, both conditions share a variety of symptoms, including obesity, menstrual irregularities, hirsutism, infertility, and insulin resistance. Objectives: To find out the prevalence and the possible link between hypothyroidism and PCOS. Patients and methods: Our study was conducted on 200 women for the presence or absence of PCO and hypothyroidism. Hormonal assay: (FSH, LH, TSH, FT3, FT4, testosterone) as well as fasting plasma glucose, HbA1c, TPO ab and thyroglobulin ab, HOMA – IR, Neck US, Pelvic-abdominal US were performed to all patients. Results: Overt hypothyroid patients in PCOS group demonstrated significantly higher PCOS criteria, infertility than those with no hypothyroidism. PCOS patients in hypothyroid group had significantly higher testosterone (0.63 ±0.14 vs 0.39 ±0.05 ng/dl), TPO antibody (median = 489 vs 203 IU/ML), and TG antibody (362.5 vs. 98 IU/ML) than patients without PCOS. Our results revealed that insulin resistance is a common finding in both condition that is inferred from the following: Patients with hypothyroidism in PCOS group demonstrated significantly higher weight (94.6 ±22.8 vs. 80.3 ±20.5 kg), BMI (34.7 ±8 vs. 30.5 ±7.5), and waist circumference (101 ±15 vs. 94 ±15 cm). Meanwhile, in hypothyroidism group, PCOS patients had higher fasting plasma glucose (127 ±30 vs 88 ±17), HBA1C (6.32% ±0.95 vs 5.07% ±0.59), HOMA-IR (median = 3.05 vs 0.9). Conclusion: There is an association between PCOS and hypothyroidism per se, neither related to the underlying etiology nor to clinical presentation. | ||||
| Keywords | ||||
| Hypothyroidism; PCOS; TSH; TPO ab. and TG ab; testosterone | ||||
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