Polycystic ovary syndrome and its association with immune reproductive disorders: A reproductive study

ABSTRACT

@#<p style="text-align justify;"><strong>BACKGOUND</strong> Polycystic ovary syndrome (PCOS) is usually present with reproductive dysfunction. Ovarian function of women with polycystic ovary syndrome might be disturbed, with resultant abnormal folliculogenesis and steroidogenesis. Although it is difficult to define the exact pathogenesis of anovulation, multiple other possible abnormalities have been postulated as contributory factors in the reproductive failure.</p><p style="text-align justify;"><strong>OBJECTIVE:</strong> The study aimed to determine the association of polycystic ovary syndrome with immune reproductive disorder.</p><p style="text-align justify;"><strong>MATERIALS AND METHODS:</strong> The study was carried out in a private institution from October 2017 to November 2017. A total of 192 patients were included in the study with ages ranging from 19-40 years old. Review of clinical charts and laboratory results were the primary mode of data gathering. The primary outcome of the study was the presence of immune reproductive disorders among women with and without polycystic ovary syndrome. The Rotterdam criteria were used for the diagnosis of polycystic ovary syndrome and positive results of immunoassays for the five categories were used for the basis for diagnosis of the immune reproductive disorder.</p><p style="text-align justify;"><strong>RESULTS:</strong> A total of 102 patients were included in the first group and 90 were included in the second group. Out of 102 in Group A, 66 (64.71%) tested positive for immune reproductive disorder. On the other hand, out of 90 patients in Group B, 59 (65.56%) tested positive for immune reproductive disorder. The computed relative risk is almost 1, which means that there is no difference in the risk of having immune reproductive disorder for patients with or without polycystic ovary syndrome.</p><p style="text-align justify;"><strong>CONCLUSION:</strong> Current evidence does not support a central role of autoimmunity in the pathogenesis of PCOS.</p>