Polikistik Over Sendromu Fenotiplerine Göre Anti-Müllerian Hormon Değerleri

Yıl 2024, Cilt: 6 Sayı: 3, 77 - 84, 26.09.2024

Serkan Polat , Osmna Nuri Erginay

https://doi.org/10.46969/EZH.1482404

Öz

Amaç: Bu çalışmanın amacı polikistik over sendromlu (PKOS) hastalarda fenotipik özelliklere göre antimüllerian hormon düzeyini araştırmaktır.
Gereç ve Yöntemler: Bu çalışma kesitsel bir kohort çalışması olarak tasarlandı ve Etlik Zübeyde Hanım Kadın Hastalıkları Eğitim ve Araştırma Hastanesi PKOS kliniğine başvuran hastalar dahil edilmiştir. Anti-mullerain hormon (AMH) düzeyleri fenotip değerlendirmesine göre kaydedilmiştir.
Bulgular: Çalışmaya toplam 118 PKOS hastası katılmıştır. Buna göre 47 hasta (%39.8) fenotip A, 15 hasta (%12.7) fenotip B, 37 hasta (%31.3) fenotip C ve 19 hasta (%16.1) fenotip D’dir. Hastaların yaş ortalaması 22.97±4.98 yıldır. Ortalama vücut kitle indeksi 26.1± 4.26 kg/m2’dir. PKOS polikliniğine en sık başvuru nedeni adet düzensizliğidir. Fenotip A (%80.9) ve fenotip D’de (%84.2) PKOS polikliniğine en sık başvuru nedeni adet düzensizliğidir. Polikistik over morfolojisi (PKOM) varlığı ve over disfonksiyonu sıklığının fenotipe göre dağılımında gruplar arasında fark vardır (p<0.001, p<0.001). Fenotipe göre ortanca AMH düzeyleri (ng/ml) arasında istatistiksel olarak anlamlı bir fark bulunmuştur (p<0.001). Ortanca değer fenotip A’da 6,3 ng/ml, fenotip B’de 2,4 ng/ml, grup C’de 6,1 ng/ml ve fenotip D’de 6,6 ng/ml’dir.
Sonuç: Çalışmamızda fenotip A en sık gözlenen gruptur ve AMH düzeyleri fenotip D grubunda diğer gruplara göre anlamlı olarak daha yüksektir.

Anahtar Kelimeler

Fenotip, polikistik over sendromu, anti müllerian hormon, Ferriman Gallwey skoru.

Etik Beyan

Bu araştırma için Etlik Zübeyde Hanım Kadın Sağlığı Eğitim ve Araştırma Hastanesi Girişimsel Olmayan Çalışmalar Etik Kurulundan onay alınmıştır (Karar no: 20/03/2024, 03/13).

Destekleyen Kurum

Yok

Teşekkür

yok

Anti-Mullerian Hormone According to Polycystic Ovary Syndrome Phenotypes

Öz

Objective: The aim of this study was to investigate the level of antimullerian hormone in patients with polycystic ovary syndrome (PCOS) according to phenotypic characteristics.
Materials and Methods: This study was designed as a cross-sectional cohort study and included patients attending the PCOS clinic of Etlik Zübeyde Hanım Gynecology Training and Research Hospital. Anti-mullerain hormone (AMH) levels were recorded according to phenotype assessment.
Results: A total of 118 patients with PCOS participated in the study. Accordingly, 47 patients (39.8%) belonged to phenotype A, 15 patients (12.7%) to phenotype B, 37 patients (31.3%) to phenotype C and 19 patients (16.1%) to phenotype D. The mean age of the patients was 22.97±4.98 years. The mean body mass index was 26.1± 4.26 kg/m2. The most common reason for presentation to the PCOS outpatient clinic was irregular menstruation. The most common reason for presentation to the PCOS outpatient clinic was irregular menstruation in phenotype A (80.9%) and phenotype D (84.2%). There was a difference between the groups in the distribution of the presence of polycystic ovarian morphology (PCOM) and the frequency of ovarian dysfunction by phenotype (p<0.001, p<0.001). A statistically significant difference was found between median AMH levels (ng/ml) according to phenotype (p<0.001). The median value was 6.3 ng/ml in phenotype A, 2.4 ng/ml in phenotype B, 6.1 ng/ml in group C and 6.6 ng/ml in phenotype D.
Conclusion: In our study, phenotype A was the most frequently observed group and AMH levels were significantly higher in the phenotype D group than in the other groups.

Anahtar Kelimeler

Phenotype, polycystic ovary syndrome, anti mullerian hormone, Ferriman Gallwey score.

Etik Beyan

The study was approved by the Ethics Committee for Noninterventional Studies of Etlik Zubeyde Hanım Women Health Education Research Hospital (Approval date: 20/03/2024 Issue No.: 03/13).

Destekleyen Kurum

None

Teşekkür

none

Kaynakça

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