Abstract

CANCIANO CHIRINO, Ernesto; LOPEZ SILVERO, Reina M; ALVAREZ DELGADO, Yamilé  and  RIO PONCIANO, Orlando. Polycystic ovary syndrome, a look from the infantile-juvenile Gynecology and the vascular risk. Rev Cubana Obstet Ginecol [online]. 2011, vol.37, n.3, pp. 359-366. ISSN 0138-600X.

INTRODUCTION: The polycystic ovary syndrome (POS) is a diagnosis dilemma with clinical-metabolic manifestations of high risk. OBJECTIVE: To characterize the vascular risk variables in adolescents with POS from January, 2007 to August, 2020 treated in an infantile-juvenile Gynecology consultation of "Felipe Rodríguez Ramos" Polyclinic of San Antonio de los Baños municipality. METHODS: A case-control study was conducted from January, 2007 to August, 2010 in the above mentioned polyclinic with two groups of 6- adolescent each random sampled: A (with POS), B (negative), defining: age at menarche, figures of blood pressure according to abdominal circumference (AC), body mass index (BMI), FSH/LH (carried out the third and the fifth day of menstrual cycle if there was menstruation), glycemia levels, usefulness of transvaginal ultrasound (US) over the abdominal one. RESULTS: The global mean was of 13.2 years for menarche, in Group A there was a trend to left according to Gauss's model. In forty two patients with POS AC was increased, a 54.7 % of them were hypertensive and a correlation of -0,78 between variables. In A group a 81.6 % had increased her BMI, as well as those with a minor rate of FSH/LH (55 %), with a Spearmen coefficient near of a -1. Only 37 patients of total had figures of altered glycemia, with significant predominance of pre-diabetes (22.5 %) in A with a relative high risk. Sensitivity of transvaginal US was high in both groups, higher in the A group (0.55). CONCLUSIONS: In the pre-hypertensive group with a central distribution of fat and a poor endocrine-metabolic control there is an early onset in the adolescents with POS, strengthening the risk beyond a good ultrasonography diagnosis.

Keywords : Polycystic ovary syndrome; vascular risk; adolescents; ultrasonography.

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