Pediatric endocrinology

Prevalence of Polycystic Ovarian Syndrome in Girls with a History of Idiopathic Central Precocious Puberty

Horm Res PaediatrPublished Cross-sectional study

Authors' conclusion

Adolescent girls with a history of ICPP have an increased risk of PCOS. This risk seems not to be related to GnRHa treatment.

Study context

Population
Post-menarcheal girls with a history of idiopathic central precocious puberty (ICPP), evaluated at gynecological age ≥2.5 years
Participants
94 participants
Exposure
Gonadotropin-releasing hormone analogue (GnRHa)-treated vs untreated ICPP girls; ICPP girls vs healthy adolescents
  • GnRHa-treatedn = 63
Outcome
Prevalence of PCOS (adolescent criteria)
Follow-up
Gynecological age ≥2.5 years

Main finding

As reported in the abstract

PCOS prevalence in ICPP girls

Met diagnostic criteria for PCOS

12%

RR of PCOS in ICPP girls vs healthy adolescents

2.5

Observational data: associations, not effects.

Further findings

Menstrual disorders, clinical and biochemical hyperandrogenism (HA) in ICPP girls

Menstrual disorders
29%
Clinical HA
36%
Biochemical HA
23%

BMI, menstrual dysfunction, hyperandrogenemia and clinical HA: treated vs untreated

No difference in BMI, menstrual dysfunction or hyperandrogenemia between treated and untreated
Higher proportion of clinical HA in untreated vs treated

Original publication

Prevalence of Polycystic Ovarian Syndrome in Girls with a History of Idiopathic Central Precocious Puberty. Horm Res Paediatr. Published 8 August 2023. doi:10.1159/000531264

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