促性腺激素释放激素类似物治疗中枢性性早熟与多囊卵巢综合征患病率改变无关:一项单中心队列研究

Gilad Karavani, Henry H Chill, Natali Schachter-Safrai, Gan Lomnitz, David Gillis, Dvora Bauman
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引用次数: 3

摘要

背景:关于促性腺激素释放激素类似物(GnRHa)治疗与多囊卵巢综合征(PCOS)之间的关联,有相互矛盾的证据。本研究旨在比较接受GnRHa治疗中枢性性早熟(CPP)的女性与未接受GnRHa治疗的女性之间内分泌失调(主要是多囊卵巢综合征)的患病率。方法:这是一项回顾性队列研究,纳入1989 - 2011年间在某大学附属三级医疗中心诊断为中枢性性早熟的女性。收集的数据包括人口统计数据、医学背景、诊断时的临床表现和治疗时间(未治疗为零)。两组患者的妇科和内分泌远期疗效比较。结果:51名妇女纳入研究,其中27/51接受促性腺激素释放激素类似物(GnRHa)治疗。PCOS的总患病率为19.6%。治疗组与未治疗组PCOS患病率无统计学差异。同样,治疗组和非治疗组的临床或实验室高雄激素症的总体患病率分别为29.4%和33.3% (p =无统计学意义)。结论:GnRHa治疗性早熟与多囊卵巢综合征的风险增加无关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Gonadotropin releasing hormone analogue treatment of central precocious puberty is not associated with altered prevalence of polycystic ovary syndrome: a single center cohort study.

Background: There is conflicting evidence regarding an association between gonadotropin releasing hormone analogue (GnRHa) therapy and polycystic ovary syndrome (PCOS). This study aimed to compare the prevalence of endocrine disorders, primarily PCOS, between women who had been treated with GnRHa for central precocious puberty (CPP) and those who were not treated.

Methods: This was a retrospective cohort study, including women diagnosed with central precocious puberty between 1989 and 2011 in a university affiliated tertiary medical center. Data collected included demographic data, medical background, clinical presentation at diagnosis and duration of treatment (zero for non-treated). Gynecologic and endocrine long-term outcomes were compared by treatment group.

Results: Fifty-one women were included in the study, 27/51 had been treated with gonadotropin releasing hormone analogue (GnRHa). Overall prevalence of PCOS was 19.6%. No statistically significant difference in prevalence of PCOS was demonstrated between the treated and non-treated groups. Similarly, overall prevalence of either clinical or laboratory hyper-androgenism, was 29.4% and 33.3%, for the treatment and non-treatment groups respectively (p = non-significant).

Conclusions: GnRHa treatment for precocious puberty is not associated with increased risk of polycystic ovary syndrome.

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来源期刊
自引率
0.00%
发文量
7
审稿时长
8 weeks
期刊介绍: Clinical Diabetes and Endocrinology is an open access journal publishing within the field of diabetes and endocrine disease. The journal aims to provide a widely available resource for people working within the field of diabetes and endocrinology, in order to improve the care of people affected by these conditions. The audience includes, but is not limited to, physicians, researchers, nurses, nutritionists, pharmacists, podiatrists, psychologists, epidemiologists, exercise physiologists and health care researchers. Research articles include patient-based research (clinical trials, clinical studies, and others), translational research (translation of basic science to clinical practice, translation of clinical practice to policy and others), as well as epidemiology and health care research. Clinical articles include case reports, case seminars, consensus statements, clinical practice guidelines and evidence-based medicine. Only articles considered to contribute new knowledge to the field will be considered for publication.
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