%0 Journal Article
%T Evaluation of Obesity and Metabolic Status in Polycystic Ovary Syndrome in Fertile and Infertile Groups
%A Vuslat Lale Bak£¿r
%J -
%D 2019
%X OBJECTIVE: The aim of our study was to compare the BMI and metabolic values of fertile and infertile groups in patients with polycystic ovary syndrome (PCOS) and to determine the effect of obesity and metabolic status on fertility and infertile groups and the fertility effect of obesity. MATERIAL AND METHODS: The clinical and metabolic data of 230 patients who presented to the gynecology outpatient clinic of our hospital between 2013 and 2018 and were diagnosed with PCOS according to the Rotterdam Diagnosis Criteria were evaluated. Body mass index (BMI), waist ratio, menstrual period, fertility status, fertility duration, parity status, presence and degree of hirsutism were evaluated. 75 g oral glucose tolerance test (OGTT) was performed following appropriate diet and fasting period. Fasting glucose and insulin levels and insulin resistance cases were determined. Total cholesterol, HDL and LDL cholesterol levels were determined. Patients with BMI; The patients were divided into two groups as fertile and infertile, evaluated for obesity and metabolic data, and data on the relationship with BMI were calculated statistically. These metabolic disorders were compared to BMI and fertility status. RESULTS: The mean age of the patients was 26.7 years. The mean BMI was 28.92 ¡À 5.95 kg / m2. Only 25% of the patients had normal weight and 73% were overweight. 4 (1.7%) cases in the weak group with BMI less than 18.5, 58 (25.2%) cases in normal weight group with BMI 19-24.9, 71 (30.9%) in overweight group with BMI 25-29.9 There were 86 cases (37.4%) in obese group with BMI 30-39.9 and 11 cases (4.8%) in morbidly obese group with BMI of 40 and above. u (21.5%) is fertile. The duration of infertility ranged from 12 to 196 months, with a mean of 33.92 ¡À 24.25 months and a median of 24 months. The waist circumference is between 62 and 135 cm and the average is 87.76 ¡À 13.48 cm. The waist / hip ratio ranged from 0.65 to 0.98 and the mean was 0.80 ¡À 0.06. The distribution of BMI was similar in the fertile and infertile groups. 99 (43.1%) of the patients had insulin resistance, 77 (33.5%) had impaired glucose tolerance and 12 (5.2%) had DM. Mean blood lipid levels were not significantly different between fertile and infertile groups. The distribution of glucose metabolism disorders was similar in both groups. CONCLUSION: Obesity and metabolic disorders are more common in PCOS cases. There was no significant difference between fertile and infertile groups according to BMI
%K Polikistik over sendromu
%K fertilite
%K metabolik durum
%U http://dergipark.org.tr/zktipb/issue/45040/558143