Wednesday, December 11, 2019

Daughters of Women With PCOS Five Times More Likely to Inherit the Disorder

The exact cause of polycystic ovary syndrome (PCOS) hasn’t been well researched to date, but a new study has now found daughters of women who have PCOS are five times more likely to inherit the condition compared to those born to women who don’t have PCOS.

Researchers also identified four alterations in genetic function present in both daughters of women who have PCOS as well as unrelated women with PCOS, helping to clarify a long-suspected hereditary genetic predisposition to the condition and raising the possibility of a screening test in the future.

PCOS is a hormonal disorder in which women of reproductive age may experience infrequent or prolonged menstrual periods or produce male hormones, known as androgens, in excess. This may cause them to develop excess body hair, acne, and even suffer from fertility problems.

Researchers of the current study,  said when pregnant, women with PCOS have higher levels of the androgen hormone that increases the likelihood for their daughters to develop PCOS later in life.

They reached the above conclusion after studying both humans and mice. Scientists from Sweden-based Karolinska Institute studied 21 Chilean women whose mothers were diagnosed with PCOS and 14 women whose mothers didn’t have the condition. Of this group, 15 women were found to show symptoms of PCOS, whereas, of those whose mothers didn’t have PCOS, only one was diagnosed with the disorder.

In addition to this study group, scientists also analyzed data from 29,000 Swedish women, of which more than 2,000 women’s mothers had PCOS. The results showed that 3.4% of women whose mothers had PCOS were also later diagnosed with the disorder themselves a rate roughly five times higher than the 0.6% diagnosis rate among women whose mothers didn’t have PCOS.

“Our work shows that the daughters of women with PCOS have an increased risk of developing the disorder,” said the lead author of the study, Elisabet Stener-Victorin, to The Guardian. “This is an under-recognized condition. Many women out there have either diagnosed themselves or are not diagnosed and are not feeling good.”

To further study how this condition is inherited, researchers led animal studies wherein pregnant mice were given injections of testosterone, an androgen, in order to mimic PCOS in mothers. They found the resulting female pups displayed PCOS-like symptoms, which were passed on for up to three generations. Each generation showed the same, unique altered gene function as well.

One in 5 women in India have PCOS ; globally, according to the World Health Organization, it is known to have affected about 2% to 26% women, and many women remain undiagnosed, per another study. Despite its prevalence, PCOS remains an under-recognized condition; for as many as one-third of women, it takes more than two years and consultations with at least three health professionals to establish a diagnosis for PCOS and start treatment.

Therefore, “if further work confirms the genes’ role in PCOS, they could potentially form the basis for a screening test in young women,” said Stener-Victorin to The Guardian. “It is very important for women with PCOS to be diagnosed and treated, if possible maybe lowering the androgen levels, because it may affect their future children and grandchildren.”

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Sunday, January 07, 2018

Taking paracetamol in pregnancy may harm daughters fertility

Taking paracetamol - an over-the- counter treatment for pain relief - during pregnancy may impair the fertility of female offspring, a study has warned. 

Researchers reviewed three separate rodent studies that report altered development in the reproductive systems of female offspring from mothers given paracetamol during pregnancy, which may impair their fertility in adulthood. 

Paracetamol, or acetaminophen, is commonly taken by pregnant women worldwide. 

Recent studies have linked paracetamol use during pregnancy with disruptions in the development of the male reproductive system but the effects on female offspring had not yet been investigated. 

Researchers reviewed findings from three individual rodent studies that evaluated the effects of paracetamol taken during pregnancy on the development of the reproductive system in female offspring. 

In rodents and humans, females are born with a finite number of eggs for reproduction in the future.
In these reviewed studies, rodents given paracetamol during pregnancy, at doses equivalent to those that a pregnant woman may take for pain relief, produced female offspring with fewer eggs. 

This means that in adulthood, they have fewer eggs available for fertilisation, which may reduce their chances of successful reproduction, particularly as they get older. 

"Although this may not be a severe impairment to fertility, it is still of real concern since data from three different labs all independently found that paracetamol may disrupt female reproductive development in this way, which indicates further investigation is needed to establish how this affects human fertility," said the researcher. 

Although there are parallels between rodent and human reproductive development, these findings have yet to be firmly established in humans. 

"As scientists, we are not in the position to make any medical recommendations and we would urge pregnant women in pain to consult with their general practitioner, midwife or pharmacist for professional advice," said the researcher. 

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