Relationship between Ovarian Reserve Markers and Body Mass Index in Infertile Women with and without Polycystic Ovary Syndrome: A Retrospective Case–Control Study

This study, carried out on 94 women with polycystic ovary syndrome (PCOS) and 176 controls without it, investigated the influence of body mass index (BMI) on serum levels of antimüllerian hormone (AMH), follicle stimulating hormone (FSH), luteinizing hormone (LH), and 17ß-estradiol (E2) in infertile...

Full description

Bibliographic Details
Main Authors: Luisa Casadei, Ilaria Nacci, Veronica Vicomandi, Roberto Pietro Sorge, Carlo Ticconi
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Reproductive Medicine
Subjects:
Online Access:https://www.mdpi.com/2673-3897/4/3/18
_version_ 1797577187459596288
author Luisa Casadei
Ilaria Nacci
Veronica Vicomandi
Roberto Pietro Sorge
Carlo Ticconi
author_facet Luisa Casadei
Ilaria Nacci
Veronica Vicomandi
Roberto Pietro Sorge
Carlo Ticconi
author_sort Luisa Casadei
collection DOAJ
description This study, carried out on 94 women with polycystic ovary syndrome (PCOS) and 176 controls without it, investigated the influence of body mass index (BMI) on serum levels of antimüllerian hormone (AMH), follicle stimulating hormone (FSH), luteinizing hormone (LH), and 17ß-estradiol (E2) in infertile patients. Patients were assigned to four subgroups according to age (<35 or ≥35 years) and BMI (<25 kg/m<sup>2</sup> or ≥25 kg/m<sup>2</sup>). Significant differences between PCOS-affected and control women were observed with respect to most of the parameters of interest. In both PCOS-affected and control women, age was inversely correlated with AMH. In the control patients, age was directly correlated with FSH and LH. In women affected by PCOS, no correlation was found between BMI and serum levels of AMH, E2, and LH, except FSH. No correlation was found between BMI and markers of ovarian reserve in control women. BMI was not correlated with AMH in any of the four subgroups considered regardless of the presence of PCOS. An inverse correlation was found only in PCOS-affected women aged ≥35 years between a BMI < 25/FSH and a BMI ≥ 25/LH. The possible association between BMI and ovulation disorder (OD) was investigated in 96 control women aged ≤37 years. In women with OD, the BMI values were significantly higher and FSH and E2 levels were lower than those of patients without OD. Taken together, our data suggest that BMI is not related to hormonal parameters of ovarian reserve, irrespective of the presence of PCOS, and could influence ovulation disorder rather than cause a decrease in ovarian reserve.
first_indexed 2024-03-10T22:04:28Z
format Article
id doaj.art-92b77189b11d4319919ffe626d75bda3
institution Directory Open Access Journal
issn 2673-3897
language English
last_indexed 2024-03-10T22:04:28Z
publishDate 2023-08-01
publisher MDPI AG
record_format Article
series Reproductive Medicine
spelling doaj.art-92b77189b11d4319919ffe626d75bda32023-11-19T12:50:53ZengMDPI AGReproductive Medicine2673-38972023-08-014319820910.3390/reprodmed4030018Relationship between Ovarian Reserve Markers and Body Mass Index in Infertile Women with and without Polycystic Ovary Syndrome: A Retrospective Case–Control StudyLuisa Casadei0Ilaria Nacci1Veronica Vicomandi2Roberto Pietro Sorge3Carlo Ticconi4Academic Department of Surgical Sciences, Section of Gynecology and Obstetrics, University of Rome Tor Vergata, Via Montpellier, 1, 00133 Rome, ItalyAcademic Department of Surgical Sciences, Section of Gynecology and Obstetrics, University of Rome Tor Vergata, Via Montpellier, 1, 00133 Rome, ItalyAcademic Department of Surgical Sciences, Section of Gynecology and Obstetrics, University of Rome Tor Vergata, Via Montpellier, 1, 00133 Rome, ItalyLaboratory of Biometry, Department of Systems Medicine, University of Rome Tor Vergata, Via Montpellier, 1, 00133 Rome, ItalyAcademic Department of Surgical Sciences, Section of Gynecology and Obstetrics, University of Rome Tor Vergata, Via Montpellier, 1, 00133 Rome, ItalyThis study, carried out on 94 women with polycystic ovary syndrome (PCOS) and 176 controls without it, investigated the influence of body mass index (BMI) on serum levels of antimüllerian hormone (AMH), follicle stimulating hormone (FSH), luteinizing hormone (LH), and 17ß-estradiol (E2) in infertile patients. Patients were assigned to four subgroups according to age (<35 or ≥35 years) and BMI (<25 kg/m<sup>2</sup> or ≥25 kg/m<sup>2</sup>). Significant differences between PCOS-affected and control women were observed with respect to most of the parameters of interest. In both PCOS-affected and control women, age was inversely correlated with AMH. In the control patients, age was directly correlated with FSH and LH. In women affected by PCOS, no correlation was found between BMI and serum levels of AMH, E2, and LH, except FSH. No correlation was found between BMI and markers of ovarian reserve in control women. BMI was not correlated with AMH in any of the four subgroups considered regardless of the presence of PCOS. An inverse correlation was found only in PCOS-affected women aged ≥35 years between a BMI < 25/FSH and a BMI ≥ 25/LH. The possible association between BMI and ovulation disorder (OD) was investigated in 96 control women aged ≤37 years. In women with OD, the BMI values were significantly higher and FSH and E2 levels were lower than those of patients without OD. Taken together, our data suggest that BMI is not related to hormonal parameters of ovarian reserve, irrespective of the presence of PCOS, and could influence ovulation disorder rather than cause a decrease in ovarian reserve.https://www.mdpi.com/2673-3897/4/3/18anti-Müllerian hormonebody mass indexovarian reserveovulationpolycystic ovarian syndrome
spellingShingle Luisa Casadei
Ilaria Nacci
Veronica Vicomandi
Roberto Pietro Sorge
Carlo Ticconi
Relationship between Ovarian Reserve Markers and Body Mass Index in Infertile Women with and without Polycystic Ovary Syndrome: A Retrospective Case–Control Study
Reproductive Medicine
anti-Müllerian hormone
body mass index
ovarian reserve
ovulation
polycystic ovarian syndrome
title Relationship between Ovarian Reserve Markers and Body Mass Index in Infertile Women with and without Polycystic Ovary Syndrome: A Retrospective Case–Control Study
title_full Relationship between Ovarian Reserve Markers and Body Mass Index in Infertile Women with and without Polycystic Ovary Syndrome: A Retrospective Case–Control Study
title_fullStr Relationship between Ovarian Reserve Markers and Body Mass Index in Infertile Women with and without Polycystic Ovary Syndrome: A Retrospective Case–Control Study
title_full_unstemmed Relationship between Ovarian Reserve Markers and Body Mass Index in Infertile Women with and without Polycystic Ovary Syndrome: A Retrospective Case–Control Study
title_short Relationship between Ovarian Reserve Markers and Body Mass Index in Infertile Women with and without Polycystic Ovary Syndrome: A Retrospective Case–Control Study
title_sort relationship between ovarian reserve markers and body mass index in infertile women with and without polycystic ovary syndrome a retrospective case control study
topic anti-Müllerian hormone
body mass index
ovarian reserve
ovulation
polycystic ovarian syndrome
url https://www.mdpi.com/2673-3897/4/3/18
work_keys_str_mv AT luisacasadei relationshipbetweenovarianreservemarkersandbodymassindexininfertilewomenwithandwithoutpolycysticovarysyndromearetrospectivecasecontrolstudy
AT ilarianacci relationshipbetweenovarianreservemarkersandbodymassindexininfertilewomenwithandwithoutpolycysticovarysyndromearetrospectivecasecontrolstudy
AT veronicavicomandi relationshipbetweenovarianreservemarkersandbodymassindexininfertilewomenwithandwithoutpolycysticovarysyndromearetrospectivecasecontrolstudy
AT robertopietrosorge relationshipbetweenovarianreservemarkersandbodymassindexininfertilewomenwithandwithoutpolycysticovarysyndromearetrospectivecasecontrolstudy
AT carloticconi relationshipbetweenovarianreservemarkersandbodymassindexininfertilewomenwithandwithoutpolycysticovarysyndromearetrospectivecasecontrolstudy