Prevalence and Levels of Thyroid Autoantibodies in Polycystic Ovary Syndrome—Impact of TSH- and BMI-Matched Comparisons: A Systematic Review and Meta-Analysis

    Jakub Kwiatkowski, Nicole Akpang, Łucja Zaborowska, Artur Ludwin
    TLDR Women with PCOS have higher levels of thyroid autoantibodies.
    This systematic review and meta-analysis investigated the prevalence and levels of thyroid autoantibodies in women with polycystic ovary syndrome (PCOS), analyzing 40 studies with 6045 PCOS patients and 4527 controls. The findings revealed that women with PCOS had significantly higher prevalence and levels of anti-thyroid peroxidase (anti-TPO) and anti-thyroglobulin (anti-TG) antibodies compared to controls. Specifically, anti-TPO prevalence had an odds ratio (OR) of 2.03, and anti-TG prevalence had an OR of 1.92. Even after matching for thyroid-stimulating hormone (TSH) levels and body mass indices (BMIs), anti-TPO levels remained significantly elevated, suggesting that PCOS may independently contribute to increased autoimmune activation, despite the influence of TSH and BMI.
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