Reproductive endocrinology

Cerebrovascular Function in Women With Polycystic Ovary Syndrome: A Pilot Multi‐Parameter Magnetic Resonance Imaging Study

Clin Endocrinol (Oxf)Published Case-control study

Main finding · Cerebral blood flow (CBF), PCOS vs HCResult — go to the resultRegional reduction in transverse temporal gyrus −29.05 mL/100 g/min

Authors' conclusion

We observed regional reduction in cerebral blood flow and regional increase in cerebrovascular reactivity in women with PCOS compared to healthy controls. However, due to the limited statistical power and unclear menstrual timing in this pilot study, these results require further replication.

Study context

Population
Women with polycystic ovary syndrome (PCOS) and healthy volunteers; 3T magnetic resonance imaging (MRI) of cerebrovascular perfusion, pulsatility, reactivity and metabolism
Participants
15 vs 12
Comparison
Women with PCOS vs healthy controls
  • PCOSn = 15
  • Healthy controls (HC)n = 12reference
Outcome
Cerebral blood flow (CBF), PCOS vs HC
Methodological detailspilot
  • Pilot

Main finding

As reported in the abstract

Regional reduction in transverse temporal gyrus

−29.05 mL/100 g/min

P = 0.03

Observational data: associations, not effects.

Further findings

OutcomeP value
Breath-hold induced cerebrovascular reactivity (CVR)PCOS vs HC · PCOS status not associated with overall CVR; χ2(1) = 0.78P = 0.38
Breath-hold induced cerebrovascular reactivity (CVR)PCOS vs HC · χ2(84) = 154.25P < 0.001
Breath-hold induced cerebrovascular reactivity (CVR) — Parahippocampus, % signal change (± SE 0.27)
1.37
Breath-hold induced cerebrovascular reactivity (CVR) — Pericalcarine cortex, % signal change (± SE 0.26)
1.04
  • Breath-hold induced cerebrovascular reactivity (CVR): CVR: PCOS n = 15, HC n = 10

Testosterone and Homeostatic Model Assessment for Insulin Resistance (HOMA2-IR)

Neither testosterone nor HOMA2-IR was associated with any outcome measure

Original publication

Cerebrovascular Function in Women With Polycystic Ovary Syndrome: A Pilot Multi‐Parameter Magnetic Resonance Imaging Study. Clin Endocrinol (Oxf). Published 1 December 2025. doi:10.1111/cen.70067

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