An observational analysis of blood and urine testosterone in diagnosis of polycystic ovarian syndrome
DOI:
https://doi.org/10.46542/pe.2023.234.259263Keywords:
Diagnostic studies, ELISA method, Polycystic ovarian syndrome, TestosteroneAbstract
Background: An important diagnostic tool for the diagnosis of Polycystic ovarian syndrome (PCOS) in women is elevated blood testosterone levels. The presence of testosterone in the urine is very likely to support the PCOS diagnosis; however, more investigation is required to determine whether blood testosterone levels are associated with PCOS.
Objective: A total of 30 PCOS-positive women participated in this observational study using a diagnostic test approach.
Method: The ELISA technique was used to measure the amounts of testosterone in the woman's urine and serum.
Result: The levels of testosterone in the urine of 30 PCOS women were lower than those in the serum, with values of 2.688 nmol/L and 8.067 nmol/L, respectively. The Spearman correlation test findings revealed a value of 0.39 at a significance level of 0.05, with a cut-off value of 2.6010 nmol/L at sensitivity and specificity of 0.625 and 0.571, showing the importance of urine testosterone levels in detecting hyperandrogenic PCOS patients.
Conclusion: In women with PCOS, serum and urine testosterone levels are correlated.
References
Ambroziak, U., Kuryłowicz, A., Kępczyńska-Nyk, A., Bartoszewicz, Z., Kondracka, A., Jaźwiec, R., Samborowska, E., Dadlez, M., Wysłouch-Cieszyńska, A., & Bednarczuk, T. (2017). The total testosterone to dihydrotestosterone ratio assessed by LC-MS/MS predicts a worse metabolic profile not only in PCOS patients. Ginekologia Polska, 88(1), 5–8. https://doi.org/10.5603/gp.a2017.0001
Burger, H. G. (2002). ANDROGEN PRODUCTION Androgen production in women. Fertility and Sterility, 77(4), 4–6. https://doi.org/10.1016/S0015-0282(02)02985-0
Chen, M. J., Yang, W. S., Yang, J. H., Chen, C. L., Ho, H. N., & Yang, Y. S. (2007). Relationship between androgen levels and blood pressure in young women with polycystic ovary syndrome. Hypertension, 49(6), 1442–1447. https://doi.org/10.1161/HYPERTENSIONAHA.106.083972
Dewailly, D. (2016). Best practice & research clinical obstetrics and gynaecology diagnostic criteria for PCOS : Is there a need for a rethink ? Best Practice & Research Clinical Obstetrics & Gynaecology, 37, 1–7. https://doi.org/10.1016/j.bpobgyn.2016.03.009
Fauser, B. C. J. M. (2004). Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome. Fertility and Sterility, 81(1), 19–25. https://doi.org/10.1016/j.fertnstert.2003.10.004
Hahn, S., Kuehnel, W., Tan, S., Kramer, K., Schmidt, M., Roesler, S., Kimmig, R., Mann, K., & Janssen, O. E. (2007). Diagnostic value of calculated testosterone indices in the assessment of polycystic ovary syndrome. Clinical Chemistry and Laboratory Medicine, 45(2), 202–207. https://doi.org/10.1515/CCLM.2007.031
Jamil, A. S., Alalaf, S. K., Al-Tawil, N. G., & Al-Shawaf, T. (2016). Comparison of clinical and hormonal characteristics among four phenotypes of polycystic ovary syndrome based on the Rotterdam criteria. Archives of Gynecology and Obstetrics, 293(2), 447–456. https://doi.org/10.1007/s00404-015-3889-5
Kathryn Korkidakis, A., & Reid, R. L. (2017). Testosterone in Women: Measurement and therapeutic use. Journal of Obstetrics and Gynaecology Canada, 39(3), 124–130. https://doi.org/10.1016/j.jogc.2017.01.006
Wang, W., Wang, S., Tan, S., Wen, M., Qian, Y., Zeng, X., Guo, Y., & Yu, C. (2015). Clinica chimica acta detection of urine metabolites in polycystic ovary syndrome by. Clinica Chimica Acta, 448, 39–47. https://doi.org/10.1016/j.cca.2015.06.008
Zhao, H., Song, X., Zhang, L., Xu, Y., & Wang, X. (2018). Comparison of Androgen Levels, Endocrine and Metabolic Indices, and Clinical Findings in Women with Polycystic Ovary Syndrome in Uygur and Han Ethnic Groups from Xinjiang Province in China. Medical Science Monitor, 24, 6774–6780. https://doi.org/10.12659/msm.909715
Zhou, Z., Li, R., & Qiao, J. (2017). Androgen profile in Chinese women with polycystic ovary syndrome in their reproductive years. Reproductive BioMedicine Online, 35(3),331–339. https://doi.org/10.1016/j.rbmo.2017.05.019