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Androgens in preeclampsia

M T Acromite1, C S Mantzoros, R E Leach

  • 1Department of Obstetrics and Gynecology, North Oakland Medical Centers, Pontiac, Michigan, USA.

American Journal of Obstetrics and Gynecology
|January 23, 1999
PubMed
Summary
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Maternal serum testosterone levels were significantly higher in women with preeclampsia compared to healthy controls. This finding suggests a potential role for testosterone in the development of preeclampsia.

Area of Science:

  • Reproductive endocrinology
  • Maternal-fetal medicine

Background:

  • Preeclampsia is a serious pregnancy complication.
  • The role of androgens in preeclampsia is not fully understood.

Purpose of the Study:

  • To investigate maternal serum androgen levels, specifically testosterone, in preeclampsia.
  • To compare testosterone levels between preeclamptic and normotensive pregnant women.

Main Methods:

  • Serum levels of testosterone, dehydroepiandrosterone sulfate, sex hormone binding globulin, and estradiol were measured.
  • 16 primigravid women with preeclampsia and 26 healthy primigravid women were studied.

Main Results:

  • Significantly higher total and free testosterone levels were observed in the preeclampsia group.

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  • No significant differences were found in dehydroepiandrosterone sulfate, sex hormone binding globulin, or estradiol levels.
  • Maternal age, gestational age, BMI, and neonatal sex did not differ between groups.

    • Conclusions:

    • Elevated testosterone levels in preeclamptic women suggest a potential role in the condition's pathogenesis.
    • Further research is warranted to elucidate the specific mechanisms involved.