Evidence mapPaperPMID 41212409Full record

ArticleJournal of endocrinological investigation2026

Metabolic complications in a large cohort of Portuguese women with hirsutism-related disorders.

Joana Pinto, Nicoletta Cera, Duarte Pignatelli

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Article in Journal of endocrinological investigation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

3 authors.

Joana PintoFaculty of Psychology and Education Sciences, University of Porto, Porto, 4200-135, Portugal.
Nicoletta CeraFaculty of Psychology and Education Sciences, University of Porto, Porto, 4200-135, Portugal.
Duarte PignatelliFaculty of Medicine, University of Porto, Porto, 4200-319, Portugal. dpignatelli@yahoo.com.ORCID http://orcid.org/0000-0002-5555-7004

Funding

Fundação para a Ciência e a Tecnologia FCT-2024.01355.BD
6 · The paper itself

Abstract

backgroundHirsutism in women, defined as excessive terminal hair growth in androgen-dependent areas, is associated with hyperandrogenic disorders such as Polycystic Ovary Syndrome (PCOS) and Non-classic Congenital Adrenal Hyperplasia (NCAH), and non-hyperandrogenic disorders like Idiopathic Hirsutism (IH). These conditions have been linked to metabolic complications, including insulin resistance, diabetes mellitus, and cardiovascular risks. Nevertheless, their specific metabolic profiles continue to require further investigation. PURPOSE: This study aims to evaluate the prevalence and severity of metabolic complications, including insulin resistance and lipid abnormalities, in women with PCOS, NCAH, Idiopathic Hyperandrogenemia (IHA), and IH compared to healthy controls.

methodsA cross-sectional study was conducted on 600 women attending endocrinology consultations at a tertiary hospital from 2010 to 2022. Participants were classified into diagnostic groups based on established criteria, and metabolic parameters were assessed. Statistical analyses included non-parametric tests and ROC curve analyses to identify significant differences and discriminatory markers.

resultsPatients with PCOS, NCAH, and IHA exhibited higher fasting insulin levels compared to controls. PCOS patients also demonstrated increased HOMA-IR, decreased QUICKI index, and lower HDL levels relative to controls. BMI differences were significant only for PCOS compared to controls. ROC analyses revealed HOMA-IR and fasting insulin levels as potential discriminators between PCOS and controls.

conclusionsMetabolic complications such as insulin resistance are prevalent in women with hyperandrogenism, highlighting the need for targeted metabolic screening in hirsutism-related disorders. Our study highlights the necessity to comprehensively demonstrate the metabolic alterations in these conditions and the ways that shall be employed to treat them. Further research is warranted to explore underlying mechanisms and intervention strategies.

Indexed as

Adrenal Hyperplasia, CongenitalHirsutismHyperandrogenismInsulin ResistanceMetabolic DiseasesPolycystic Ovary SyndromeAdultBiomarkersCross-Sectional StudiesFemaleHumansPortugalPrevalenceYoung AdultBiomarkersIdiopathic hirsutismIdiopathic hyper-androgenemiaInsulinMetabolicNon-classic congenital adrenal hyperplasiaPolycystic ovary syndrome

Identifiers

PMID41212409

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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.