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Updated: May 22, 2026

A Hyperandrogenic Mouse Model to Study Polycystic Ovary Syndrome
Published on: October 2, 2018
Pervasive developmental disorders in children of hyperandrogenic women with polycystic ovary syndrome: a longitudinal
Stefano Palomba1, Rosa Marotta, Annalisa Di Cello
1Department of Obstetrics, University of Modena and Reggio Emilia, Reggio Emilia, Italy. stefanopalomba@tin.it
Insights
Children born to mothers with polycystic ovary syndrome (PCOS) may face increased risks for pervasive developmental disorders (PDDs). Prenatal testosterone exposure appears to influence these developmental outcomes, particularly in daughters.
Area of Science:
- Neuroendocrinology
- Developmental Pediatrics
- Reproductive Medicine
Background:
- Foetal exposure to elevated testosterone is implicated in mammalian brain development and pervasive developmental disorders (PDDs).
- Polycystic ovary syndrome (PCOS) is a common endocrine disorder characterized by hyperandrogenism.
Purpose of the Study:
- To investigate the hypothesis that children born to hyperandrogenic women with PCOS have an increased risk of PDDs.
- To explore the relationship between prenatal testosterone exposure and neurodevelopmental outcomes in offspring.
Main Methods:
- A longitudinal case-control study involving 30 pregnant women with PCOS and 45 healthy pregnant controls.
- Maternal clinical evaluations and biochemical assays during pregnancy and postpartum.
- Administration of child versions of Autism-Spectrum Quotient (AQ-C), Empathy Quotient (EQ-C), and Systemizing Quotient (SQ-C) tests to the children.
Main Results:
- Children of PCOS patients exhibited higher total AQ-C and communication scores.
- Daughters of PCOS mothers showed significantly higher total AQ-C, communication, and attention switching subscores.
- Daughters of PCOS mothers had lower EQ-C and higher SQ-C scores compared to controls.
- Amniotic testosterone levels significantly influenced AQ-C, EQ-C, and SQ-C scores across all participants.
Conclusions:
- Daughters of mothers with hyperandrogenic PCOS may be at a higher risk for PDDs.
- This increased risk is potentially linked to unbalanced prenatal exposure to high testosterone levels.
- Prenatal androgen exposure is a critical factor in neurodevelopmental trajectories.
Objective:
Foetal exposure to high testosterone concentrations seems to be involved in the development of mammalian brain and related to pervasive developmental disorders (PDDs). The aim of the current study was to test the hypothesis that children born from hyperandrogenic women with polycystic ovary syndrome (PCOS) are at higher risk of PDDs.
Design:
Longitudinal case-control study.
Patients:
Thirty pregnant PCOS patients with hyperandrogenaemia and other 45 pregnant healthy women were followed during pregnancy. All women had a healthy baby.
Measurements:
Clinical evaluations and biochemical assays of the mothers during pregnancy and after delivery were performed. The children's versions of the Autism-Spectrum Quotient (AQ-C), the Empathy Quotient (EQ-C) and Systemizing Quotient (SQ-C) tests were administered.
Results:
Total AQ-C and communication scores were significantly higher for children of PCOS patients. Stratifying our population according to sex, total AQ-C, communication and attention switching subscores were significantly higher only for daughters of PCOS patients. EQ-C and SQ-C scores resulted in significantly lower and higher scores, respectively, only in daughters of PCOS patients in comparison with those of healthy non-PCOS controls. AQ-C, EQ-C and SQ-C scores, irrespective of the studied group and/or subclassification by gender, were significantly influenced by amniotic testosterone levels.
Conclusions:
Daughters of mothers affected by hyperandrogenic PCOS seem to have a higher risk for PDDs probably due to an unbalanced prenatal exposure to high levels of testosterone.
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