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Androgen Metabolism and Reproductive Outcome

Completed
Conditions
Healthy Pregnant Women
Polycystic Ovary Syndrome
Registration Number
NCT02106676
Lead Sponsor
Medical University of Graz
Brief Summary

The aim of this study is to determine maternal androgen metabolism during pregnancy and the impact of androgen disorders on mothers and infants.

Detailed Description

Women with polycystic ovary syndrome (PCOS) have an impaired fertility and significant higher complication rates during infertility treatment, pregnancy and the perinatal period. Complications include the occurrence of multiple gestations, ovarian hyper stimulation syndrome, early pregnancy loss, gestational diabetes, pregnancy-induced hypertension, pre-eclampsia and need for caesarean section. Moreover, their infants are more frequently born preterm, have higher perinatal mortality rates and are more often admitted to a neonatal intensive care unit. The etiology of PCOS is not particularly mapped, but a genetic background can be assumed by analyzing PCOS families. In utero androgen excess has also been suspected to be an important risk factor. Animal studies have demonstrated that intrauterine hyperandrogenic environment affects the offspring by leading to biochemical and morphological features of PCOS. Sex differences in prenatal androgen levels have been observed and testosterone levels in umbilical cord blood and in amniotic fluid are higher in healthy male babies than in healthy female babies. There are just a few reporting on the relation between maternal androgen levels during pregnancy and the respective offspring. The aim of this clinical study is to determine maternal androgen metabolism and the impact of androgen disorders on mothers and infants.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
400
Inclusion Criteria
  • pregnant women with and without PCOS
Exclusion Criteria
  • unable to consent

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
correlation of testosterone between mother and offspringday of birth (within average 24 hours)
Secondary Outcome Measures
NameTimeMethod
maternal sexual hormon binding globulinsix weeks after birth
correlation of human growth hormon between mother and offspringday of birth (within average 24 hours)
correlation of cortisol between mother and offspringday of birth (within average 24 hours)
correlation of prolactin between mother and offspringday of birth (within average 24 hours)
correlation of sexual hormon binding globulin between mother and offspringday of birth (within average 24 hours)
correlation of thyroid-stimulating hormone between mother and offspringday of birth (within average 24 hours)
correlation of progesterone between mother and offspringday of birth (within average 24 hours)
correlation of dehydroepiandrosteron between mother and offspringday of birth (within average 24 hours)
correlation of follicle stimulating hormone between mother and offspringday of birth (within average 24 hours)
correlation of estrogen levels between mother and offspringday of birth (within average 24 hours)
maternal androstendionesix weeks after birth
maternal progesteronesix weeks after birth
maternal insulinsix weeks after birth
maternal human growth hormonsix weeks after birth
correlation of insulin between mother and offspringday of birth (within average 24 hours)
correlation of c-peptide between mother and offspringday of birth (within average 24 hours)
maternal follicle stimulating hormonesix weeks after birth
correlation of luteinizing hormon between mother and offspringday of birth (within average 24 hours)
maternal thyroid-stimulating hormonesix weeks after birth
maternal cortisolsix weeks after birth
maternal luteinizing hormonsix weeks after birth
maternal estrogen levelssix weeks after birth
maternal testosteronesix weeks after birth
correlation of androstendione between mother and offspringday of birth (within average 24 hours)
correlation of anti muellerian hormon between mother and offspringday of birth (within average 24 hours)
correlation of Vitamin D levels between mother and offspringday of birth (within average 24 hours)
maternal anti muellerian hormonsix weeks after birth
maternal dehydroepiandrosteronsix weeks after birth
maternal c-peptidesix weeks after birth
maternal Vitamin D levelssix weeks after birth
maternal prolactinsix weeks after birth

Trial Locations

Locations (1)

Medical University of Graz

🇦🇹

Graz, Austria

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