Table 2.
Twenty-Four-Hour Urinary Steroid Excretion in PCOS Patients, Controls, and PCOS Androgen Phenotype Subgroups
| Variable | Controls (n = 43) | All PCOS (n = 86) | NA/NT (n = 10) | HA/NT (n = 20) | HA/HT (n = 56) |
|---|---|---|---|---|---|
| Total androgen metabolites, μg per 24 h | 2882 ± 2018 | 5493 ± 2781a | 2751 ± 1760 | 4886 ± 1968b,c | 5727 ± 2530a,c |
| An, μg per 24 h | 1413 ± 906 | 2824 ± 1651a | 1452 ± 1178 | 2594 ± 1207b | 3016 ± 1553a,c |
| Et, μg per 24 h | 1468 ± 1208 | 2457 ± 725a | 1299 ± 733 | 2292 ± 1211 | 2683 ± 1469b,d |
| An/Et ratio (5α-reductase activity) | 1.1 ± 0.4 | 1.3 ± 0.6b | 1.2 ± 0.6 | 1.3 ± 0.6 | 1.3 ± 0.6 |
| Urinary DHEA, μg per 24 h | 457 ± 721 | 1740 ± 954b | 477 ± 400 | 1586 ± 960 | 1960 ± 854b,c |
| Total glucocorticoid metabolites, μg per 24 h | 6821 ± 3572 | 9624 ± 4214e | 8449 ± 4181 | 8935 ± 3404 | 9803 ± 4390b |
| 5α-THF, μg per 24 h | 940 ± 608 | 1313 ± 814b | 1250 ± 1135 | 1259 ± 759 | 1359 ± 842e |
| THF, μg per 24 h | 1206 ± 607 | 1520 ± 549b | 1489 ± 924 | 1477 ± 475 | 1634 ± 822b |
| 5α-THF/THF (5α-reductase activity) | 0.8 ± 0.3 | 0.9 ± 0.5 | 0.8 ± 0.4 | 0.8 ± 0.5 | 0.9 ± 0.5 |
| (5α-THF+THF)/THE (11β-HSD1 activity) | 0.9 ± 0.3 | 0.9 ± 0.3 | 0.9 ± 0.3 | 0.9 ± 0.2 | 0.9 ± 0.4 |
| Urinary cortisol/urinary cortisone (11β-HSD2 activity) | 0.6 ± 0.5 | 0.6 ± 0.2 | 0.5 ± 0.1 | 0.6 ± 0.2 | 0.7 ± 0.2 |
Abbreviations: total androgen metabolites, sum of An+Et; total glucocorticoid metabolites, sum of THF+5α-THF+THE+cortols+cortolones+free cortisol/cortisone. Androgen and glucocorticoid metabolites were measured by GC/MS. The PCOS subgroup classification was according to high (H) or normal (N) A and T concentrations as measured by LC/MS-MS [normal T (NT) ≤1.9 nmol/L; normal A (NA) ≤7.4 nmol/L]. Data are expressed as mean ± SD unless otherwise stated.
P < .001 as compared with the BMI-matched healthy controls
P < .05 as compared with the BMI-matched healthy controls.
P < .05 as compared with the NA/NT group.
P < .01 as compared with the NA/NT group.
P < .01 as compared with the BMI-matched healthy controls.