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A Comparison of Polycystic Ovary Syndrome and Related Factors Between Lesbian and Heterosexual Women

Smith, HA and Markovic, N and Matthews, AK and Danielson, ME and Kalro, BN and Youk, AO and Talbott, EO (2011) A Comparison of Polycystic Ovary Syndrome and Related Factors Between Lesbian and Heterosexual Women. Women's Health Issues, 21 (3). 191 - 198. ISSN 1049-3867

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Objectives: Polycystic ovary syndrome (PCOS) is a common reproductive endocrine disorder associated with infertility, cardiovascular disease and type 2 diabetes. Despite anecdotal evidence that lesbians may have higher PCOS rates than heterosexuals, little empirically based evidence supports this theory. To address this gap, we examined PCOS prevalence and associated factors among a community sample of lesbian and heterosexual women. Methods: Lesbian (n = 114) and heterosexual (n = 97) women aged 35 to 45 who participated in The Epidemiologic STudy of HEalth Risk (ESTHER) Project (Pittsburgh, PA) were recruited into our PCOS exploratory study between April and October 2008. A reproductive endocrinologist, " blinded" to participant sexual orientation, identified women with PCOS using a modified version of the 2003 Rotterdam Diagnostic Criteria for PCOS. Sexual orientation was defined by self-reported sexual identity, behavior, and attraction. Fisher's exact, chi-square, and Wilcoxon rank-sum tests were used for analysis. Results: Approximately 6.2% (n = 13) of the total sample (n = 211) had PCOS. PCOS rates did not significantly differ between lesbian and heterosexual women ([7.9%, n = 9] vs. [4.1%, n = 4]; p = .256). No significant differences in PCOS-related factors were found between lesbian and heterosexual women: polycystic ovaries ([10.5%, n = 12] vs. [6.2%, n = 6]; p = 0.261), hirsutism ([24.6%, n = 28] vs. [15.5%, n = 15]; p = 0.102), oligomenorrhea ([3.6%, n = 4] vs. [5.4%, n = 5]; p = 0.735), adult acne ([21.1%, n = 24] vs. [24.7%, n = 24], p = 0.524), and median testosterone ([1.69 ng/mL, n = 114] vs. [1.52 ng/mL, n = 97]; p = 0.069) and androstenedione ([1.63 ng/mL, n = 114] vs. [1.51 ng/mL, n = 97]; p = 0.079) concentrations, respectively. Conclusion: PCOS and related factors did not differ by sexual orientation. Despite this, our observed rates warrant the need for additional studies to examine the relationship between PCOS diagnoses, PCOS-related factors, and sexual orientation. © 2011 Jacobs Institute of Women's Health.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Smith, HA
Markovic, Nninam@pitt.eduNINAM
Matthews, AK
Danielson, MEDanielsonM@edc.pitt.eduEPIDMED
Kalro, BN
Youk, AOayouk@pitt.eduAYOUK
Talbott, EOeot1@pitt.eduEOT1
Centers: Other Centers, Institutes, Offices, or Units > Center for LGBT Health Research
Date: 1 May 2011
Date Type: Publication
Journal or Publication Title: Women's Health Issues
Volume: 21
Number: 3
Page Range: 191 - 198
DOI or Unique Handle: 10.1016/j.whi.2010.11.001
Schools and Programs: Graduate School of Public Health > Epidemiology
School of Dental Medicine > Dental Science
Refereed: Yes
ISSN: 1049-3867
MeSH Headings: Adult; Female; Heterosexuality--statistics & numerical data; Homosexuality, Female--statistics & numerical data; Humans; Middle Aged; Pennsylvania--epidemiology; Polycystic Ovary Syndrome--complications; Polycystic Ovary Syndrome--diagnosis; Polycystic Ovary Syndrome--epidemiology; Prevalence; Self Report
PubMed ID: 21310628
Date Deposited: 12 Jun 2013 21:38
Last Modified: 02 Feb 2019 16:57


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