Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
2001-8-14
pubmed:abstractText
In nonobese girls with an adolescent variant of polycystic ovary syndrome, insulin-sensitizing treatment reduces hyperinsulinism, dyslipidemia, and hyperandrogenism and restores eumenorrhea; however, the effect on anovulation is unknown. We assessed whether metformin treatment is capable of inducing ovulation in nonobese adolescents with anovulatory hyperandrogenism after precocious pubarche. The study population consisted of 18 adolescents (mean age, 16 yr; body mass index, 21.4 kg/m2; 3-7 yr beyond menarche) with hyperinsulinemic hyperandrogenism. All girls received metformin for 6 months in a daily dose of 1275 mg. Before inclusion, persistent anovulation was documented by weekly serum progesterone measurements less than 4 ng/ml (months -3 and -1); the ovulation rate was assessed similarly after 2, 4 and 6 months on metformin; a premenstrual progesterone level greater than 8 ng/ml was used as ovulation marker. Regular menses were reported by 16 of 18 girls within 4 months on metformin, and all girls were eumenorrheic after 6 months on metformin. Of the 18 girls, 1 (6%) ovulated after 2 months on metformin, 7 (39%) after 4 months, and 14 (78%) after 6 months; ovulation induction failed in the girls with the lowest birth weight or most severe hyperandrogenism. Metformin treatment was well tolerated. In conclusion, sensitization to insulin was found to be an effective approach to induce ovulation in nonobese adolescents with anovulatory hyperandrogenism.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0021-972X
pubmed:author
pubmed:issnType
Print
pubmed:volume
86
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
3595-8
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:11502783-Adolescent, pubmed-meshheading:11502783-Adult, pubmed-meshheading:11502783-Androgens, pubmed-meshheading:11502783-Anovulation, pubmed-meshheading:11502783-Estradiol, pubmed-meshheading:11502783-Female, pubmed-meshheading:11502783-Follicle Stimulating Hormone, pubmed-meshheading:11502783-Humans, pubmed-meshheading:11502783-Hyperandrogenism, pubmed-meshheading:11502783-Hyperinsulinism, pubmed-meshheading:11502783-Hypoglycemic Agents, pubmed-meshheading:11502783-Insulin, pubmed-meshheading:11502783-Luteinizing Hormone, pubmed-meshheading:11502783-Menstrual Cycle, pubmed-meshheading:11502783-Metformin, pubmed-meshheading:11502783-Ovulation, pubmed-meshheading:11502783-Progesterone, pubmed-meshheading:11502783-Sex Hormone-Binding Globulin, pubmed-meshheading:11502783-Time Factors
pubmed:year
2001
pubmed:articleTitle
Sensitization to insulin induces ovulation in nonobese adolescents with anovulatory hyperandrogenism.
pubmed:affiliation
Endocrinology Unit, Hospital Sant Joan de Déu, University of Barcelona, 08950 Esplugues, Barcelona, Spain. libanez@hsjdbcn.org
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, Non-U.S. Gov't