The Value of Prostate-Specific Antigen in Diagnosis of Polycystic Ovarian Syndrome in Adolescent Girls

2018 ◽  
Vol 31 (3) ◽  
pp. 263-269 ◽  
Author(s):  
Aytekin Tokmak ◽  
Serkan Bodur ◽  
Selcuk Erkilinc ◽  
Sule Ozel ◽  
Yaprak Engin-Ustun
Author(s):  
Eleftherios P. Diamandis ◽  
Frank Z. Stanczyk ◽  
Sarah Wheeler ◽  
Anu Mathew ◽  
Martin Stengelin ◽  
...  

AbstractBackground:Polycystic ovarian syndrome (PCOS) is a common cause of reproductive and metabolic dysfunction. We hypothesized that serum prostate-specific antigen (PSA) may constitute a new biomarker for hyperandrogenism in PCOS.Methods:We conducted a cross-sectional study of 45 women with PCOS and 40 controls. Serum from these women was analyzed for androgenic steroids and for complexed PSA (cPSA) and free PSA (fPSA) with a novel fifth- generation assay with a sensitivity of ~10 fg/mL for cPSA and 140 fg/mL for fPSA.Results:cPSA and fPSA levels were about three times higher in PCOS compared to controls. However, in PCOS, cPSA and fPSA did not differ according to waist-to-hip ratio, Ferriman-Gallwey score, or degree of hyperandrogenemia or oligo-ovulation. In PCOS and control women, serum cPSA and fPSA levels were highly correlated with each other, and with free and total testosterone levels, but not with other hormones. Adjusting for age, body mass index (BMI) and race, cPSA was significantly associated with PCOS, with an odds ratio (OR) of 5.67 (95% confidence interval [CI]: 1.86, 22.0). The OR of PCOS for fPSA was 7.04 (95% CI: 1.65, 40.4). A multivariate model that included age, BMI, race and cPSA yielded an area-under-the-receiver-operating-characteristic curve of 0.89.Conclusions:Serum cPSA and fPSA are novel biomarkers for hyperandrogenism in PCOS and may have value for disease diagnosis.


Author(s):  
Rajashree Panigrahy ◽  
Bratati Singh ◽  
Tapan K. Pattnaik ◽  
Sanjukta Misra

Background: Ovarian androgen production can be promoted by insulin resistance which leads to reproductive abnormalities in Polycystic Ovarian Syndrome (PCOS). A wide variety of female tissues can synthesize and secrete Prostate Specific Antigen (PSA). Androgens may take part a significant role in PSA secretion in PCOS. As insulin resistance stimulates androgen production, the baseline value of PSA may decline by insulin sensitising agents in PCOS. Present study is an attempt to measure the function of PSA as a marker of androgen excess in PCOS and to assess the role of insulin sensitising agent metformin in altering PSA level in PCOS.Methods: The study was undertaken to assess the insulin resistance, testosterone and PSA level in 45 women diagnosed as PCOS and 45 healthy controls. Alteration of insulin resistance, serum testosterone and PSA levels by metformin was also analysed.Results: A significant increase in testosterone, PSA level and insulin resistance was observed in PCOS cases when compared with control (p<0.001). When metformin was given for 4 months, improvement in insulin resistance and testosterone level was found in cases, but PSA values observed no change. Correlation was not found linking insulin resistance with PSA level prior to and after therapy.Conclusions: Serum PSA level could be detected in high significant concentration in PCOS women. Various researches explain that insulin resistance and BMI may perhaps control serum PSA level, but our result demonstrate no effect of insulin sensitising agent on serum PSA value.


2013 ◽  
Vol 03 (03) ◽  
pp. 054-058
Author(s):  
Sowmya M. A. ◽  
Philomena Fernandes

AbstractThe study was conducted to assess the effectiveness of structured teaching programme on knowledge of polycystic ovarian syndrome among adolescent girls. The study design adopted was pre experimental one group pre-test post- test design. The demographic Proforma were collected from the adolescent girls by using structured knowledge questionnaire. Data obtained in these areas were analysed using descriptive and inferential statistics. A significant difference between pre test and post test knowledge was found (t79= 2.0 p<0.05).The study findings showed that the structured teaching programme was effective in improving knowledge of adolescent girls regarding polycystic ovarian syndrome. There was no significant association between the level of knowledge and demographic variables except the group in which they study (Science, Arts, Commerce)


2014 ◽  
Vol 27 (6) ◽  
pp. 347-352 ◽  
Author(s):  
Ahmed A. El-Sharkawy ◽  
Ghada S. Abdelmotaleb ◽  
Mohammed K. Aly ◽  
Ahmed M. Kabel

Author(s):  
Kiran Nandalike ◽  
CHHAVI Agarwal ◽  
SUSAN Coupey ◽  
Sanghun Sin ◽  
Raanan Arens

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