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Thyroid Peroxidase Antibodies in Infertile Women with Polycystic Ovary Syndrome

  • Reproductive Endocrinology: Original Article
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Abstract

To compare the rate of positive thyroid peroxidase antibodies (TPO Ab) between women with different polycystic ovary syndrome (PCOS) phenotypes and women without PCOS. This is a retrospective cohort study. Women with PCOS at My Duc Hospital between June 1, 2020, and March 27, 2021, were matched with non-PCOS women by age. TPO Ab (cut-off: 34 IU/mL) and thyroid-stimulating hormone (TSH) levels were measured as markers of Hashimoto thyroiditis and thyroid function, respectively. One thousand eight hundred eight infertile women were included, 904 with PCOS (mean age 29.0 ± 3.58 years) and 904 without PCOS (29.1 ± 3.4 years; controls). Women with PCOS had a higher body mass index (22.8 ± 3.84 vs. 19.9 ± 2.23 kg/m2, p < 0.001), but most were not overweight/obese. Rates of positive TPO Ab in women with versus without PCOS were 8.2% and 8.4%, respectively (p = 0.932). Rates of positive TPO Ab in patients with PCOS phenotype A, B, C, or D were not statistically different (7.5%, 2.9%, 20.0%, and 7.8%, respectively). Median TSH concentrations were similar in the PCOS and control groups (1.84 mIU/L vs. 1.78 mIU/L, respectively; p = 0.194). Based on a linear regression model, there was no correlation between either BMI or the estradiol to progesterone ratio and TPO Ab status. In a large population of infertile women with PCOS who were mostly lean patients, rates of positive TPO Ab across all four PCOS phenotypes did not differ significantly from those in women without PCOS. These findings did not support the hypothesis that PCOS is a risk factor for Hashimoto thyroiditis.

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Data Availability

The datasets generated and/or analyzed during the current study are not publicly available due to patient privacy but are available from the corresponding author on reasonable request.

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Acknowledgements

We are grateful to My Duc Hospital and HRC staffs for their contribution and supports in this study.

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Authors and Affiliations

  1. IVFMD, My Duc Hospital, Ho Chi Minh City, Vietnam

    Van T. T. Tran, Vu N. A. Ho, Nam T. Nguyen, Hieu L. T. Hoang & Lan N. Vuong

  2. HOPE Research Center, My Duc Hospital, Ho Chi Minh City, Vietnam

    Van T. T. Tran, Luong D. Ly, Minh H. N. Nguyen, Toan D. Pham, Loc T. H. Tran, Mai T. N. Tran, Vu N. A. Ho, Nam T. Nguyen, Hieu L. T. Hoang & Lan N. Vuong

  3. School of Medicine, Vietnam National University Ho Chi Minh City, Ho Chi Minh City, Vietnam

    Luong D. Ly

  4. Endocrinology Clinic, My Duc Hospital, Ho Chi Minh City, Vietnam

    Luong D. Ly & Mai T. N. Tran

  5. Department of Obstetrics and Gynaecology, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam

    Lan N. Vuong

Authors
  1. Van T. T. Tran
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Contributions

The study was designed by LDL, VTTT, LNV, and TDP. Statistical analysis was performed by TDP and LTHT. The draft of this manuscript was first written by VTTT and LDL. The manuscript was reviewed and edited by all of the authors. VTTT, LDL, TDP, and LTHT had full access to all the data in the study. All authors had final responsibility for the decision to submission and assume responsibility for the accuracy and completeness of the analyses and the consistent adherence of this report to the research protocol.

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Correspondence to Luong D. Ly.

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02/21/DD-BVMD.

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Conflict of Interest

LNV has received grant, speaker, and conference fees from Merck Sharp and Dohme and grant, speaker, conference, and scientific board fees from Ferring. LDL has received speaker fees from Novo Nordisk. All other authors declare no competing interests.

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Tran, V.T.T., Ly, L.D., Nguyen, M.H.N. et al. Thyroid Peroxidase Antibodies in Infertile Women with Polycystic Ovary Syndrome. Reprod. Sci. 30, 3071–3076 (2023). https://doi.org/10.1007/s43032-023-01261-5

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  • DOI: https://doi.org/10.1007/s43032-023-01261-5

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