Características clínicas y bioquímicas de pacientes con síndrome de ovario poliquístico e infertilidad

Norka Quillatupa Valencia; Mónica Rabanal; Silvana Scaletti; Adolfo Rechkemmer Prieto; Diana Rodríguez

doi:10.31403/rpgo.v56i242

Authors

Norka Quillatupa Valencia Egresada Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Perú
Mónica Rabanal Egresada Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Perú
Silvana Scaletti Egresada Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Perú
Adolfo Rechkemmer Prieto Médico Ginecólogo Obstetra, Departamento de Ginecología y Obstetricia, Servicio de Reproducción Humana, Hospital Nacional Arzobispo Loayza, Lima, Perú
Diana Rodríguez Médico Internista del Hospital Nacional Arzobispo Loayza, Lima, Perú

DOI:

https://doi.org/10.31403/rpgo.v56i242

Abstract

Objective: To describe the most important clinical and biochemical characteristics in patients with polycystic ovary syndrome (PCOS) treated for infertility. Design: Observational, descriptive, retrospective study. Setting: Service of Human Reproduction and Infertility, Hospital Nacional Arzobispo Loayza, Lima, Peru. Participants: Patients with diagnosis of infertility and PCOS. Interventions: Between January 1995 and December 2007, 5640 clinical histories were reviewed, 181 patients had diagnosis of infertility and PCOS, and 59 met the admission criteria. Main outcome measures: Pregnancy and abortion. Results: Mean age was 27,5; 70% of the population not achieving pregnancy had a body mass index ≥ 25; testosterone was high in 15% of successful pregnancies and in 37,5% of the unsuccessful ones; 74,2% patients ovulated with clomiphene citrate, 52,4% achieved pregnancy and 16,7% presented miscarriage. Conclusions: Many clinical and biochemical characteristics of our population are similar to those described in the literature. A normal body mass index would be a good clinical marker to predict conception. Testosterone value in normal range may be a possible predictor of success at pregnancy.