Tehrani Hatav Ghasemi, Mostajeran Fatemeh, Shahsavari Somayeh
Department of Obstetrics and Gynecology, Isfahan University of Medical Sciences, Isfahan, Iran.
J Res Med Sci. 2014 Sep;19(9):875-80.
Poly cystic ovary syndrome (PCOS) is considered one of the most common endocrine disorders of women in reproductive age. The aim of this study was evaluating the efficacy of calcium and Vitamin D supplementation on the regularity of menstrual cycles, body mass index (BMI) and hyper androgenism state of women with PCOS.
In this clinical trial, 80 women with PCOS were evaluated. They randomly located in four groups receiving metformin (group 1), metformin plus calcium and Vitamin D (group 2), calcium and Vitamin D (group 3) and placebo (group 4) for 4 months. BMI, regularity of menstrual cycles, hyperandrogenism (hirsutism and acne) and serum calcium and Vitamin D levels were compared in four studying groups at baseline and 4 months after the trial.
All studied subjects were similar at baseline (P > 0.05). After trial, the frequency of hirsutism and acne were not different among groups. Frequency regular menstrual cycle and dominant follicle were significantly higher in group 1 and 2 than others (P < 0.05). After trial, there was no significant difference with respect to BMI among groups.
Vitamin D and calcium supplementation in addition to metformin therapy in women with PCOS could result in a better outcome in a variety of PCOS symptoms including menstrual regularity, and ovulation.
多囊卵巢综合征(PCOS)被认为是育龄期女性最常见的内分泌疾病之一。本研究的目的是评估补充钙和维生素D对PCOS女性月经周期规律性、体重指数(BMI)和高雄激素血症状态的疗效。
在这项临床试验中,对80名PCOS女性进行了评估。她们被随机分为四组,分别接受二甲双胍(第1组)、二甲双胍加钙和维生素D(第2组)、钙和维生素D(第3组)以及安慰剂(第4组)治疗4个月。在基线和试验后4个月时,比较了四个研究组的BMI、月经周期规律性、高雄激素血症(多毛症和痤疮)以及血清钙和维生素D水平。
所有研究对象在基线时相似(P>0.05)。试验后,各组间多毛症和痤疮的发生率无差异。第1组和第2组的月经周期规律频率和优势卵泡明显高于其他组(P<0.05)。试验后,各组间BMI无显著差异。
PCOS女性在二甲双胍治疗的基础上补充维生素D和钙,在包括月经规律和排卵在内的多种PCOS症状方面可能会取得更好的效果。