Level of Sex Hormone Binding Globulin (SHBG) in Sera of Iraqi Women with Polycystic Ovary Syndrome Correlating Infertility
DOI:
https://doi.org/10.22401/Keywords:
polycystic ovary syndrome, Primary infertility, sex hormone binding , insulin resistance, fasting blood sugarAbstract
Ovulatory abnormalities are a prevalent cause of infertility in women, and they can result in PCOS, or polycystic ovary syndrome. This study aimed to evaluate and compare fasting blood sugar (FBS), insulin, insulin resistance (IR-OMO), sex hormone binding globulin (SHBG), and follicular, in addition to vitamin D3, stimulating hormone (FSH), testosterone (TT), estrogen (E2), luteinizing hormone (LH), prolactin (PRL), and the incidence of PCOS, associated with primary infertility in sera samples of Iraqi women. A total of 70 primary infertility women, and 30 apparently healthy controls were included in this study, their ages were ranged between 19 - 40 years. Blood samples were collected from patient in addition of healthy controls as (C group). The levels of FSH, LH, prolactin, TT, E2, IR-HOMO, and FBS were higher significantly (p˂0.001) in patient groups than C group. Results showed that serum levels of SHBG in patient (3.014±0.26 ng/ml) were decreased significantly in comparison with its levels (9.975 ±0.72 ng/ml) in sera sample of C group. On the other hand, vit. D3 levels of patients (11.78 ±1.41ng/ml) were also significantly decreased in comparison with C group (18.13 ±4.07ng/ml). Furthermore, it was found that there was non-significant positive correlation between serum levels of SHBG and LH, TT, E2, insulin, IR-HOMO, VITD3, and negatively associated with FSH, PRL and FSB in patients. Thus, it can be stated that the decreases of level SHBG were associated PCOS with primary infertility.
References
[1] Moridi, A.; Roozbeh, N.; Yaghoobi, H.; Soltani S.; Dashti, S.; Shahrahmani, N.; Banaei, M.; “Etiology and risk factors associated with infertility”. Int. J. Women’s Health Reprod. Sci., 7(3): 346-53, 2019.
https://doi.org/10.15296/ijwhr.2019.57
[2] Kalima-Munalula, M.N.; Ahmed, Y.; Vwalika B.; “Factors associated with infertility among women attending the gynecology clinic at university teaching hospital, Lusaka, Zambia”. Med. J. Zambia, 44(1): 41-4, 2017.
[3] Koval, H.D.; Chopyak, V.V.; Kamyshnyi, O.M.; Kurpisz, M.K.; “Transcription regulatory factor expression in T-helper cell differentiation pathway in eutopic endometrial tissue samples of women with endometriosis associated with infertility”. Cent. Eur. J. Immunol., 43(1): 90-6, 2018. https://doi.org/10.5114/ceji.2018.74878 .
[4] Jameel, Z. Y.; Hamza, M. I.; “Association Between Lipid Profiles, Frequency of Thyroid Hormone and Insulin Resistance in Poly Cystic Ovarian Syndrome”. Al-Nahrain J. Sci. 25(1): 1–8, 2022.
[5] Jawad, A. H.; Ibrahim, S. A.; Jawad, Z. H.; Hadi, D. M.; “A Study of the Correlation of Some Sex Hormone with Obesity in Women with Secondary Infertility”. J. Al-Nahrain Uni. Sci. 18(2): 44-49, 2015.
[6] Shenta, A.; Saud, K.; Al-Shawi, A.; “Assessment the Correlations of Hormones, Lipid Profiles, Oxidative Stress, and Zinc Concentration in Iraqi Women with Polycystic Ovary Syndrome”. Reports Biochem”. Mol. Biol. 9(3): 270–277, 2020.
[7] Huang, S.; Huang, W.J.; Lin, A.T.; “Distinguishing non-obstructive azoospermia from obstructive azoospermia in Taiwanese patients by hormone profile and testis size”. J. Chinese Med. Assoc., 81(6): 531–535, 2018.
[8] Zuo, T.; Zhu, M.; Xu, W.; “Roles of oxidative stress in polycystic ovary syndrome and cancers”. Oxid. Med. Cell. Longev., 2016(1): 8589318, 2016.
[9] Setji, T.L.; Brown, A.J.; “Polycystic ovary syndrome: update on diagnosis and treatment,” Am. J. Med., 127(10): 912–919, 2014.
[10] Kopylchuk, G.P.; Voloshchuk, O.M.; “Peculiarities of the free radical processes in rat liver mitochondria under toxic hepatitis on the background of alimentary protein deficiency”. Ukr. Biochem. J., 88(2): 66-72, 2016
[11] Suturina, L.V.; Atalyan, A.V.; Darzhaev, Z.Y.; Belenkaya, L.V.; Baldano, M.N.; Lazareva, L.M.; “Overweight and obesity prevalence in referral population of infertile women with polycystic ovary syndrome”. Adv. Obesity, Weight Manag. Control, 7(1): 188, 2017.
[12] Balen, A.H.; Morley, L.C.; Misso, M.; Franks, S.; Legro, R.S.; Wijeyaratne, C.N.; Stener-Victorin, E.; Fauser, B.C.; Norman, R.J.; Teede, H.; “The management of anovulatory infertility in women with polycystic ovary syndrome: an analysis of the evidence to support the development of global WHO guidance.” Hum. Reprod. Update, 22 (6): 687–708, 2016.
[13] Johnston, B.C.; Zeraatkar, D.; Han, M.A.; Vernooij, R.W.; Valli, C.; El Dib, R.; Guyatt, G. H.; “Unprocessed red meat and processed meat consumption: dietary guideline recommendations from the Nutritional Recommendations (NutriRECS) Consortium”. Ann. Intern. Med., 171(10): 756–764, 2019.
[14] Al-Fahham, A. A.; Al-Nowainy, H.Q.; “The Role of FSH, LH, and Prolactin Hormones in Female Infertility”. Int. J. Pharm. Tech. Res., 6: 110–118, 2016.
[15] Haqq, L.; McFarlane, J.; Dieberg, G.; Smart, N.; “Effect of lifestyle intervention on the reproductive endocrine profile in women with polycystic ovarian syndrome: a systematic review and meta-analysis”. Endocr. Connect., 3(1): 36–46, 2014
[16] Jewad, A.K.M.; Alkhafji, E.R.; Ali, N.H.; “Correlation of antisperm antibodies with trace elements in seminal fluid of immunologic infertile men”. Ann. Trop. Med. Public Heal. 22(4): 3-6, 2019.
[17] Miller, W.L.; Auchus, R.J.; “The backdoor pathway of androgen synthesis in human male sexual development”. PLoS. Biol. 17(4): e3000198, 2019.
[18] Witchel, S.F.; Oberfield, S.E.; Peña, A.S.; “Polycystic Ovary Syndrome: Pathophysiology, Presentation, and Treatment with Emphasis on Adolescent Girls” J. Endocr. Soc., 3(8):1545-1573. 2019.
[19] Ramachandran, S.; Hackett, G.I.; Strange, R.C.; “Sex hormone binding globulin: a review of itsinteractions with testosterone and age, and its impact on mortality in men with type 2 diabetes”. Sexual Med. Rev. 4: 669–678, 2019.
[20] Zhu, J.l.; Chen, Z.; Feng, W.; Long, S.; Mo, Z.C.; “Sex hormone-binding globulin and polycystic ovary syndrome’, Clin. Chim. Acta. 499: 142-148, 2019.
[21] Salva-Pastor, N.; Chávez-Tapia, N.C.; Uribe, M.; Nuño-Lámbarri, N.; “Understanding the association of polycystic ovary syndrome and non-alcoholic fatty liver disease”. J. Steroid Biochem. Mol. Biol., 194: 105445, 2019.
[22] Frisancho, A.R.; “New standards of weight and body composition by frame size and height for assessment of nutritional status in adults and elderly”. Am. J. Clin. Nutr. 40(4):808-819, 1984.
[23] Abutorabi, E.S.; Rashidi, B.H.; Irani, S.; Haghollahi, F.; Bagheri, M.; “Investigation of the FSHR, CYP11, and INSR mutations and polymorphisms in Iranian infertile women with polycystic ovary syndrome (PCOS Rep. Biochem. Mol. Biol., 9 (4): 470-477, 2021.
[24] Khmil, M.; Khmil, S.; Marushchak, M.; “Hormone Imbalance in Women with Infertility Caused by Polycystic Ovary Syndrome: Is There a Connection with Body Mass Index? J. Med. Sci. 20; 8(B): 731-737. 2020.
https://doi.org/10.3889/oamjms.2020.4569 .
[25] Saxena, S.; Gupta, R.; Agarwal, L.; Srivastava, P.C.; Mallick, A.K.; “Correlation of serum thyroid stimulating hormone and prolactin in female infertility–a case control study. Indian J Obstet Gynecol Res, 3(4): 388-392, 2016.
[26] Nestler, J.E.; Powers, L. P.; Matt, D. W.; Steingold, K.A.; Plymate, S.R.; Rittmaster, R.S.; BLACKARD, W.G.; “A direct effect of hyperinsulinemia on serum sex hormone-binding globulin levels in obese women with the polycystic ovary syndrome”. J. Clin. Endocrinol. Metab., 72(1); 83-89, 1991.
[27] Farman, M.S.; Akoul, M.A.; Hamoode, R.H.; “Hormonal and Hematological Imbalance and Female Infertility”. Int. Appl. Sci. Biotechnol., 8(2): 286-289, 2021.
[28] Naeem, R.S.; Jewad, A.M.; Mahmoud, R.A.; “A Biochemical Study of Infertile Women with and Without Polycystic Ovarian Syndrome in Basra City, Iraq”. UTJ. Sci., 10 (1 (SI)), 62-67, 2023.
[29] Abrahem, S.A.; “Relationship between Drugs, Diabetes Mellitus and Hypertension with Obesity in Sera of Women after Menopause”. Al-Nahrain J. of Sci., 16(1):11-16, 2013.
[30] Jawad, A.H.; Ibrahim, S.A.; Hadi, D.M.; Jawad, Z.H.; “A Study of the Correlation of Some Sex Hormone with Obesity in Women with Secondary Infertility”. Al-Nahrain J. Sci., 18(2):44-49, 2015.
[31] Gupta, P.; Agrawal, S.; Agarwal, A., Pandey, A., Kumar, N.; Ali, W.; “Comparison of Endocrine and Metabolic Profile of Obese and Lean PCOS Women with Infertility”. Int. J. of Infertility & Fetal Med., 13(3): 125-128., 2022.
[32] Özer, A.; Bakacak, M.; Kıran, H.; Ercan, Ö.; Köstü, B.; Kanat-Pektaş, M.; Kılınç, M.; Aslan, F.; “Increased oxidative stress is associated with insulin resistance and infertility in polycystic ovary syndrome”. Ginekol Pol., 87(11):733-738, 2016. https://doi.org/10.5603/GP.2016.0079. PMID: 27958630.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Zahraa A.Sharhan, Suhad A. Ibrahim, Zahraa S. Al_Taie, Waled Abdo Ahmed, Rahimi M. Yusop

This work is licensed under a Creative Commons Attribution 4.0 International License.