Polycystic Ovary Syndrome Clinical Trial
Official title:
Sebum Excretion in Neonates of Women With Polycystic Ovary Syndrome (PCOS): Does Increased Skin Greasiness in the First Week of Life Predict Subsequent Development of the Syndrome? A Cohort Study
To investigate whether women with polycystic ovary syndrome who are post-partum excrete higher levels of sebum in comparison to healthy controls due to high levels of androgens.
First degree relatives of women with PCOS have a 3-4 fold increased prevalence of the
syndrome compared with the general population, suggesting an inherited genetic
predisposition. Many investigations into possible candidate genes for PCOS susceptibility
have hypothesised the incomplete penetrance of a dominant gene, although no consensus has
been achieved as to any exact genetic polymorphisms which may be culpable.
Primate studies have offered credence to the theory that genomic imprinting is influenced by
environmental hyperandrogenism and the hypothesis of intra-uterine exposure to excess
androgens as a cause of PCOS is gaining momentum (Abbott et al, 2010). At birth, both mother
and neonate are influenced by an identical hormone profile, and it is therefore expected that
sebum excretion rates (a correlate of androgen excess) will be higher in those neonates born
to mothers with PCOS when compared to those without. This would account for the observed
familial transition of PCOS (Legro et al, 1998; Vink et al, 2006), and support the hypothesis
that in-utero hyperandrogenism primes differentiating tissues for later expression of the
PCOS phenotype in adolescence.
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