Increased oxidative stress in clomiphene citrate resistant P
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The purpose of this study was to evaluate the relation CC resistant PCOS and the thiol/disulphide homeostasis, used as a marker of OS, by measuring that exchange using a novel technique. Sixty women patients admitted to the infertility clinic were evaluated. The patients were divided into two groups. Group 1 comprised 30 infertile PCOS patients with CC resistance; Group 2 was the control group comprising 30 infertile PCOS patients with CC sensitivity. Serum total thiol, native thiol, disulphide, and free testosterone were statistically significant. The independent variables BMI and age effects were adjusted according to the logistic regression method with groups. Significant differences were observed between the two groups in the levels of native thiol, total thiol, disulphide, and free testosterone values. The thiol/disulphide homeostasis viewed in favour of OS.
Like a reflection of OS in the follicular endocrine microenvironment may be linked with increased thiol/disulphide homeostasis, free testosterone, insulin and HOMA-IR levels.

Impact statement
In this study, serum thiol/disulphide homeostasis was measured in infertile PCOS patients resistant to CC for the first time. Disulphide concentrations were significantly higher in patients with CC resistant patients thanthe control group. This shows us that more OS occurs in the CC-resistant group. Thiol/disulphide homeostasis will be a guide for PCOS management in patients with CC-resistant PCOS.

Source:https://www.tandfonline.com/doi/full/10.1080/01443615.2020.1786033?af=R
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