Prevalence of Polycystic Ovary Syndrome and Related Disorders in Mexican Women

Prevalence of Polycystic Ovary Syndrome and Related Disorders in Mexican Women
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DOI:
10.1159/000277640
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发表时间:
2010-01-01
影响因子:
2.1
通讯作者:
Duque, Ximena
Duque, Ximena
中科院分区:
医学4区
文献类型:
--
作者:
Moran, Carlos;Tena, Gilberto;Duque, Ximena

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背景/目标:多囊卵巢综合征(PCOS)已被发现影响4-8%的育龄妇女;然而,在墨西哥裔美国人中,据报道患病率为12.8%。这项研究确定了墨西哥妇女样本中PCOS的患病率。方法:这项前瞻性横断面研究包括150名年龄在20-45岁的墨西哥女性志愿者。记录月经周期,并对多毛症进行分级。进行盆腔超声检查并测量雄激素水平。根据高雄激素血症和/或高雄激素血症和排卵过少(NIH 1990标准),以及3项检查结果中的2项:排卵过少、临床和/或生化高雄激素血症和多囊卵巢(PCO)(鹿特丹2003标准),排除其他疾病,诊断PCOS。结果:根据NIH标准,150名妇女中有9名被诊断为PCOS,患病率为6.0%(95%CI:1.9-10.1%)。根据鹿特丹标准,超声形态学检查增加了1例患者,使10例PCOS患者的患病率为6.6%(95%CI:2.3-10.9%)。所有PCOS患者均表现为少排卵,9例有多毛,7例有痤疮。10例PCOS患者中有8例具有PCO的形态学特征。结论:墨西哥妇女的PCOS患病率约为6.0%,与其他人群相似,但低于墨西哥裔美国妇女的12.8%。版权所有(C)2010 S. Karger AG,巴塞尔
Background/Aims: Polycystic ovary syndrome (PCOS) has been found to affect 4-8% of women of reproductive age; however, in Mexican-Americans a prevalence of 12.8% has been reported. This study determines the prevalence of PCOS in a sample of Mexican women. Methods: This prospective cross-sectional study included 150 female Mexican volunteers aged 20-45 years. Menstrual cycles were recorded and hirsutism was graded. Pelvic ultrasound was performed and androgen levels were measured. PCOS was diagnosed by hyperandrogenism and/or hyperandrogenemia, and oligo-ovulation (NIH 1990 criteria), and also by 2 of 3 findings: oligo-ovulation, clinical and/or biochemical hyperandrogenism and polycystic ovaries (PCO) ( Rotterdam 2003 criteria), excluding other disorders. Results: Nine of the 150 women were diagnosed with PCOS, a prevalence of 6.0% (95% CI: 1.9-10.1%), according to NIH criteria. The ultrasound morphology added one patient to give ten PCOS patients, a prevalence of 6.6% ( 95% CI: 2.3-10.9%) according to Rotterdam criteria. All PCOS patients presented oligo-ovulation, 9 had hirsutism and 7 of them had acne. Eight of the 10 PCOS patients had morphologic characteristics of PCO. Conclusion: The prevalence of PCOS in Mexican women is approximately 6.0%, similar to other populations, but lower than 12.8% reported in Mexican-American women. Copyright (C) 2010 S. Karger AG, Basel