Ovarian reserve in reproductive age women with type 1 diabetes

Background: Premature aging are frequently observed among individuals with type 1 diabetes. Decrease of ovarian reserve may be one of the characteristics of such process. Aims: To evaluate the ovarian reserve function in female patients of reproductive age with type 1 diabetes in comparison with hea...

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Main Authors: Olga R. Grigoryan, Natalia S. Krasnovskaya, Robert K. Mikheev, Elena N. Andreeva, Ivan I. Dedov
Format: Article
Language:English
Published: Endocrinology Research Centre 2018-09-01
Series:Сахарный диабет
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Online Access:https://www.dia-endojournals.ru/jour/article/view/9480
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author Olga R. Grigoryan
Natalia S. Krasnovskaya
Robert K. Mikheev
Elena N. Andreeva
Ivan I. Dedov
author_facet Olga R. Grigoryan
Natalia S. Krasnovskaya
Robert K. Mikheev
Elena N. Andreeva
Ivan I. Dedov
author_sort Olga R. Grigoryan
collection DOAJ
description Background: Premature aging are frequently observed among individuals with type 1 diabetes. Decrease of ovarian reserve may be one of the characteristics of such process. Aims: To evaluate the ovarian reserve function in female patients of reproductive age with type 1 diabetes in comparison with healthy women. Materials and methods: This study evaluated 224 Caucasian women, age 18–37 years with type 1 diabetes and 230 healthy women of comparable age. Serum concentrations of anti-Mullerian hormone (AMH), inhibin B, follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol, progesterone and testosterone were compared on the 2–3 day of menstrual cycle as ovarian volume and antral follicle count (AFC). In addition, glycated hemoglobin level (HbA1c%) was evaluated. Results: We reveal statistically significant difference in following parameters in diabetic women in comparison with healthy women: AMH, AFC. But even in diabetic patients parameters remained within reference ranges. There was a pronounced negative relationship between the levels of HbA1c% and AMG. Conclusions: Ovarian reserve function parameters decrease in young women with type 1 diabetes in comparison with healthy women, but ovarian reserve parameters are in normal reference range. These findings are important in pregnancy planning consulting by gynecologists and endocrinologists. We must recommend to women with type 1 diabetes more early planning of natural pregnancy for treatment with reproductive technology in cases of prolog absence of nature pregnancy.
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spelling doaj-art-3bd63d7c08e5446d89a382a843a3aec12025-08-20T03:47:53ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782018-09-0121426427010.14341/DM94808549Ovarian reserve in reproductive age women with type 1 diabetesOlga R. Grigoryan0Natalia S. Krasnovskaya1Robert K. Mikheev2Elena N. Andreeva3Ivan I. Dedov4<p>Endocrinology Research Centre</p><p>City clinic №9</p><p>Moscow State University of Medicine and Dentistry named after A.I. Evdokimov</p><p>Endocrinology Research Centre</p><p>Endocrinology Research Centre&rdquo;</p>Background: Premature aging are frequently observed among individuals with type 1 diabetes. Decrease of ovarian reserve may be one of the characteristics of such process. Aims: To evaluate the ovarian reserve function in female patients of reproductive age with type 1 diabetes in comparison with healthy women. Materials and methods: This study evaluated 224 Caucasian women, age 18&ndash;37 years with type 1 diabetes and 230 healthy women of comparable age. Serum concentrations of anti-Mullerian hormone (AMH), inhibin B, follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol, progesterone and testosterone were compared on the 2&ndash;3 day of menstrual cycle as ovarian volume and antral follicle count (AFC). In addition, glycated hemoglobin level (HbA1c%) was evaluated. Results: We reveal statistically significant difference in following parameters in diabetic women in comparison with healthy women: AMH, AFC. But even in diabetic patients parameters remained within reference ranges. There was a pronounced negative relationship between the levels of HbA1c% and AMG. Conclusions: Ovarian reserve function parameters decrease in young women with type 1 diabetes in comparison with healthy women, but ovarian reserve parameters are in normal reference range. These findings are important in pregnancy planning consulting by gynecologists and endocrinologists. We must recommend to women with type 1 diabetes more early planning of natural pregnancy for treatment with reproductive technology in cases of prolog absence of nature pregnancy.https://www.dia-endojournals.ru/jour/article/view/9480anti-mullerian hormoneantral folliclesovarian reservetype 1 diabetes
spellingShingle Olga R. Grigoryan
Natalia S. Krasnovskaya
Robert K. Mikheev
Elena N. Andreeva
Ivan I. Dedov
Ovarian reserve in reproductive age women with type 1 diabetes
Сахарный диабет
anti-mullerian hormone
antral follicles
ovarian reserve
type 1 diabetes
title Ovarian reserve in reproductive age women with type 1 diabetes
title_full Ovarian reserve in reproductive age women with type 1 diabetes
title_fullStr Ovarian reserve in reproductive age women with type 1 diabetes
title_full_unstemmed Ovarian reserve in reproductive age women with type 1 diabetes
title_short Ovarian reserve in reproductive age women with type 1 diabetes
title_sort ovarian reserve in reproductive age women with type 1 diabetes
topic anti-mullerian hormone
antral follicles
ovarian reserve
type 1 diabetes
url https://www.dia-endojournals.ru/jour/article/view/9480
work_keys_str_mv AT olgargrigoryan ovarianreserveinreproductiveagewomenwithtype1diabetes
AT nataliaskrasnovskaya ovarianreserveinreproductiveagewomenwithtype1diabetes
AT robertkmikheev ovarianreserveinreproductiveagewomenwithtype1diabetes
AT elenanandreeva ovarianreserveinreproductiveagewomenwithtype1diabetes
AT ivanidedov ovarianreserveinreproductiveagewomenwithtype1diabetes