Polycystic Ovary Syndrome Is Associated With NASH Severity And Advanced Fibrosis

    October 2019 in “ Liver International
    Monika Sarkar, Norah A. Terrault, Wesley Chan, Marcelle I. Cedars, Heather G. Huddleston, Caroline C. Duwaerts, Dana Balitzer, Ryan M. Gill
    TLDR Women with PCOS have more severe liver disease.
    The study concluded that Polycystic Ovary Syndrome (PCOS) was significantly associated with more severe Non-Alcoholic Steatohepatitis (NASH) and advanced fibrosis in women. Among 102 women with biopsy-confirmed non-alcoholic fatty liver disease (NAFLD), 36% had PCOS and exhibited higher LDL levels, BMI, and a higher prevalence of severe hepatocyte ballooning and advanced fibrosis. Adjusted analyses confirmed significant associations between PCOS and severe hepatocyte ballooning (OR 3.4, p=0.03) and advanced fibrosis (OR 7.1, p=0.02). The findings suggested that PCOS could be a risk factor for severe liver disease, emphasizing the need for hepatologists to routinely inquire about PCOS in women with NAFLD and evaluate for more severe liver conditions in this population.
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