Exp Clin Endocrinol Diabetes 2018; 126(07): 437-444
DOI: 10.1055/s-0043-121264
Article
© Georg Thieme Verlag KG Stuttgart · New York

The PCOS Patients differ in Lipid Profile According to their Phenotypes

Magdalena Spałkowska
1   Department of Dermatology, Jagiellonian University Medical College in Krakow, Poland
,
Sandra Mrozińska
2   Department of Metabolic Diseases, Jagiellonian University Medical College in Krakow, Poland
,
Anna Gałuszka-Bednarczyk
3   Department of Endocrinological Gynecology, Jagiellonian University Medical College in Krakow, Poland
,
Katarzyna Gosztyła
4   Neurology Department, Medical Centre in Łańcut, Poland
,
Agnieszka Przywara
5   Oncology Department, University Hospital in Krakow, Poland
,
Justyna Guzik
6   Department of Anesthesiology and Intensive Care, Hospital of Saint Raphael in Krakow, Poland
,
Marek Janeczko
7   Department of Gynecology, Hospital of Saint Raphael in Krakow, Poland
,
Tomasz Milewicz
3   Department of Endocrinological Gynecology, Jagiellonian University Medical College in Krakow, Poland
,
Anna Wojas-Pelc
1   Department of Dermatology, Jagiellonian University Medical College in Krakow, Poland
› Author Affiliations
Further Information

Publication History

received 11 August 2017
revised01 October 2017

accepted 05 October 2017

Publication Date:
31 January 2018 (online)

Abstract

Polycystic ovary syndrome (PCOS) affects 4–18% of women of reproductive age. The number of reports exploring the lipid profiles among PCOS patients and number of studied patients are limited. The aim of our study was to assess the lipid profile separately in lean and non-lean women with polycystic ovary syndrome divided according to hyperandrogenemia, defined as free androgen index (FAI)≥5. The second aim was to compare the lipid profiles among lean and non-lean PCOS patients with respect to hyperandrogenemia and regularity of menstruation cycles. We evaluated 232 patients from Department of Endocrinological Gynecology, Jagiellonian University Medical College in Krakow diagnosed with PCOS. The population consisted of 166 lean and 66 non-lean women. We observed higher levels of total cholesterol, high-density lipoprotein cholesterol (HDL-C) in lean patients with FAI<5 than in lean patients with FAI≥5. There were no differences in lipid profile between non-lean patients with FAI≥5 and non-lean patients with FAI<5. Among lean patients higher total cholesterol levels were observed in those with irregular menstruation cycles and FAI<5 than in patients with FAI≥5 and regular cycles. There were no differences in lipid profiles between four phenotypes among non-lean PCOS patients.

Conclusions The results of our study showed differences in lipid profile between lean PCOS patients according to their phenotype based on androgens’ level. This effect was abandoned by fat tissue mass in non-lean ones. Further studies should be conducted to explore these associations.