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Response urinary albumin excretion in polycystic ovary syndrome contributions from a study considering low grade albuminuria

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LETTER

TO

THE

EDITOR—CORRESPONDENCE

Response:‘‘Urinaryalbuminexcretioninpolycysticovary syndrome:contributionsfromastudyconsideringlowgrade albuminuria’’

TotheEditor,

The screening and management guidelines for metabolic problemsinPCOSarestilllacking.Datafromdifferentpopulations ofyoungPCOSwomenwillclarifythisissue.Microalbuminuriain PCOSwomeninnormalrangebutabovetheaveragefornormal population is of great interest due to known association with cardiovascular and metabolic comorbidities. This study repre-sented here states that spot urine samples are also useful for screeningPCOSwomen.Moreover,whetherscreeningPCOScases

withtheconventionalthresholdformicroalbuminuria(uACR3.5– 35mg/mmol)estimatedforusein patientswithhigherrisk for nephropathy, especially diabeticsubjects,is appropriateawaits furtherdata.TheactualcardiovascularriskofPCOSwomenwillbe clarifiedin large population based studies but untilthen these youngwomenwouldbebetterscreenedformetabolicproblemsto avoidlong-termconsequencesofthedisease.

GamzeCaglar UfukUniversitySchoolofMedicine,DepartmentofObstetrics andGynecology,DivisionofReproductiveEndocrinology andInfertility,Ankara,Turkey E-mailaddress:[email protected]

EuropeanJournalofObstetrics&GynecologyandReproductiveBiology175(2014)213

ContentslistsavailableatScienceDirect

European

Journal

of

Obstetrics

&

Gynecology

and

Reproductive

Biology

j o urn a l hom e pa ge : ww w. e l s e v i e r. c om/ l o ca t e / e j ogr b

0301-2115/$–seefrontmatterß2011ElsevierIrelandLtd.Allrightsreserved.

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