Evidence map›Paper›PMID 40126979›Full record

ArticleJournal of pediatric endocrinology & metabolism : JPEM2025

Presence of hyperandrogenemia in cases evaluated due to menstrual irregularity, the effect of clinical and/or biochemical hyperandrogenemia on polycystic ovary syndrome.

Serkan Bilge Koca, Esra Tengiç, Gönül Büyükyılmaz

Abstract read
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In one paragraph

Article in Journal of pediatric endocrinology & metabolism : JPEM, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Serkan Bilge KocaDepartment of Pediatrics, Division of Pediatric Endocrinology, Health Sciences University, Kayseri City Education and Research Hospital, Kayseri, Turkiye.ORCID https://orcid.org/0000-0002-9724-2369
Esra TengiçDepartment of Pediatrics, Health Sciences University, Kayseri City Education and Research Hospital, Kayseri, Türkiye.ORCID https://orcid.org/0009-0005-3490-0642
Gönül BüyükyılmazDepartment of Pediatrics, Division of Pediatric Endocrinology, Ankara Bilkent City Hospital, Ankara, Türkiye.ORCID https://orcid.org/0000-0001-7888-7295

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPolycystic ovary syndrome (PCOS) is known one of the most common causes of menstrual irregularities and hyperandrogenism in adolescents. We compared cases with increased risk for PCOS (presence of clinical hyperandrogenemia (CH) and/or biochemical hyperandrogenemia (BH) along with menstrual irregularity (MI)) and cases with only MI.

methodsPatients were divided into four subgroups. Those with only MI (n=130), CH+MI (n=68), BH+MI (n=25), and CH+BH+MI (n=31). Age, weight, height, and body mass index were recorded. The CH was assessed by the presence of persistent acne, hirsutism, or androgenic alopecia. Modified Ferriman Gallwey (mFG) score was used to evaluate hirsutism. Cases with total testosterone levels above 55 ng/dL were considered to have BH.

resultsWe observed that basal LH and LH/FSH ratio do not provide insight into CH. Unlike, DHEA-S (p=0.006), total testosterone (p=0.003), and free androgen index (FAI) (p=0.027) are relatively high in patients with CH. Polycystic ovarian morphology (PCOM) is lower in cases with only MI compared to cases with increased risk of PCOS (43.3 vs. 56.7 %, p=0.096). We predicted that 28.05 μg/L for Total testosterone, 75.9 for FAI, and 192.9 μg/dL for DHEA-S could be used as a cut-off value with a sensitivity and specificity over 60 %, ​​to distinguish MI from increased risk for PCOS.

conclusionsAfter excluding other secondary endocrinological causes of MI in the first years, routine use of total testosterone, DHEA-S, and FAI is sufficient to distinguish cases presenting menstrual disorders due to anovulation from increased risk of PCOS.

Indexed as

BiomarkersHyperandrogenismMenstruation DisturbancesPolycystic Ovary SyndromeAdolescentFemaleFollow-Up StudiesHirsutismHumansPrognosisTestosteroneYoung AdultBiomarkersTestosteroneadolescentbiochemical hyperandrogenemiaclinical hyperandrogenemiamenstrual irregularitypolycystic ovary syndrome

Identifiers

PMID40126979

What Socratic holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.