Markers of abdominal adipose tissue in women: relationship to ovarian function.

Increased abdominal adipose tissue (AAT) mass, as most reliably measured by waist circumference, in pubescent girls positively correlates with insulinemia, circulating insulin-like growth factor 1, insulin resistance, androgenemia, and both plasma luteinizing hormone and estradiol levels. Because insulin resistance and androgen excess regularly accompany the ovarian changes seen in polycystic ovary syndrome (PCOS), we propose that elevated AAT mass in adolescent girls, acting through an increase in insulin resistance, might make them more prone to the development of full-blown PCOS.

Serum alpha-inhibin levels in polycystic ovary syndrome: relationship to the serum androstenedione level.

To date, only one study has demonstrated increased serum inhibin levels in women with polycystic ovary syndrome (PCOS). Moreover, no relationship between serum inhibin and either FSH or androgen levels has been noted. This lack of data could be due to 1) the heterogeneity of PCOS and the small sample size of previous studies, and/or 2) the complexity of circulating inhibin molecular forms, which hinders the precise evaluation of bioactive inhibin.