Reproductive endocrinology

Gestational Age-specific Reference Intervals for Androgens in Pregnancy

J Clin Endocrinol MetabPublished Prospective longitudinal cohort study

Authors' conclusion

The study highlights a methodology for constructing gestational age-specific TT, A4, and 17-OHP levels to provide a better interpretation of results in a cohort of healthy Chinese women. The observation in PE supports previous findings, and the higher levels of TT, A4, and 17-OHP were observed before the onset of PE.

Study context

Population
Healthy Chinese pregnant women
Participants
600 women
Outcome
Gestational age-specific reference intervals of TT, A4 and 17-OHP
Methodological detailspopulation-based, longitudinal serum sampling across gestation, LC-MS/MS measurement, multilevel modeling
  • Population-based
  • Longitudinal serum sampling across gestation
  • LC-MS/MS measurement
  • Multilevel modeling

Main finding

As reported in the abstract

Androgen levels across gestation

Correlation of A4 with total testosterone (TT)

R = .90, P = <.001

Observational data: associations, not effects.

Further findings

OutcomeP value
A4, TT and 17-OHP in PE vs non-PESignificantly higher levels of A4, TT and 17-OHP with PEP ≤ 0.01

A4, TT and 17-OHP by fetal sex

Mothers carrying male vs female fetuses had comparable levels of A4, TT and 17-OHP

Original publication

Gestational Age-specific Reference Intervals for Androgens in Pregnancy. J Clin Endocrinol Metab. Published 13 June 2024. doi:10.1210/clinem/dgae382

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