Reproductive endocrinology

Resting Cerebrovascular Haemodynamics and Dynamic Assessment of Cerebrovascular Function in Polycystic Ovary Syndrome

Clin Endocrinol (Oxf)Published Case-control study

Authors' conclusion

Cerebrovascular function is largely preserved in women with PCOS, although elevated arterial pulsatility and impaired vasodilatory response to carbon dioxide may indicate early endothelial dysfunction in the cerebral vasculature. Larger studies are needed to confirm this in view of our limited study power.

Study context

Population
Women with Polycystic Ovary Syndrome (PCOS) and healthy controls
Participants
15 vs 16
Comparison
Women with PCOS vs healthy controls
  • PCOSn = 15
  • Controlsn = 16reference
Outcome
Resting global cerebral blood flow (3T MRI)

Main finding

As reported in the abstract

P = 0.25

Observational data: associations, not effects.

Further findings

OutcomePCOSControlsP value
Relative PCAPI during NVCElevated with PCOS12.0% ± 5.6%7.0% ± 3.8%P = 0.04
ICA vasodilation during CVRCO2Impaired with PCOS−0.10 ± 0.22 mm0.18 ± 0.24 mmP < 0.01
Resting MCAv, PCAv, MCAPI and PCAPI
all p > 0.05
Neurovascular coupling (NVC)
P = 0.45
ICA cerebrovascular reactivity to CO2 (CVRCO2)
P = 0.20

Resting MCAv, PCAv, MCAPI and PCAPI

Similar between groups

Neurovascular coupling (NVC)

Similar between groups

ICA cerebrovascular reactivity to CO2 (CVRCO2)

Similar between groups

Dynamic cerebral autoregulation directional sensitivity

Similar between groups

Original publication

Resting Cerebrovascular Haemodynamics and Dynamic Assessment of Cerebrovascular Function in Polycystic Ovary Syndrome. Clin Endocrinol (Oxf). Published 25 November 2025. doi:10.1111/cen.70061

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