DOI: 10.4103/mjbl.mjbl_311_24 ISSN: 1812-156X

Effect of 5-Alpha Reductase on Serum Testosterone Level in Obese Women with PCOS

Nabaa Faiz Abbas, Maha F. Smaism, Bushra ALRubayae

Abstract

Background:

Insulin resistance and obesity have been connected to PCOS. Elevated 5α-reductase activity, a crucial enzyme that controls the peripheral conversion of testosterone to the most potent androgen, 5α-dihydrotestosterone, may be the cause of hyperandrogenism.

Objectives:

The aim of the Study is to try to find the cause of PCOS through an impact study the effect of 5α-reductase on serum testosterone level in obese women with PCOS and also study the relationships between this enzyme with other biochemical markers through evaluation of the 5α-reductase level in patients with PCOS.

Materials and Methods:

About 120 women between the ages of 18 and 40 were involved in the study. They were divided into four groups: 30 obese women, 30 non-obese women with PCOS, and 30 obese women, 30 non-obese who appear to be in excellent condition and are the control group. All women with thyroid illness, diabetes mellitus, smoking, hypertension, and hormonal medication usage were not included in these categories.

Results:

Significantly higher levels of 5-alpha reductase, testosterone, LH, and prolactin (PRL) were observed in the blood ( P < 0.05), while FSH levels were lower in the serum levels of women with PCOS compared to the control group. The receiver-operating characteristic curve analysis of 5-alpha reductase for patient-control differentiation showed an area under the curve of 0.867, suggesting strong diagnostic potential.

Conclusion:

The current study focuses on hormones and enzymes that are less well known to be associated with the pathophysiology of PCOS. In addition to this, the function of enzymes in PCOS condition and the likelihood and effectiveness of measuring their levels during diagnosis.

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