Emergence of polycystic ovary syndrome (PCOS) during adolescence
Active Project Grant Awarded Last action
- Award ID
- R01HD117972
- Recipient
-
Cornell University UEI G56PUALJ3KT5
- Awarding agency
-
National Institute of Child Health and Human Development
National Institutes of Health, Department of Health and Human Services
- Obligated
- $2,029,201
Award facts
- Assistance listing
- 93.865 Child Health and Human Development Extramural Research
- Completion date 27% complete
- Place of performance
- New York, USA
Award details come from USAspending.gov.
Description
- Abstract
- Polycystic ovary syndrome (PCOS) affects 1 in 8 women of reproductive age imparting reproductive, cardiometabolic and psychological health complications for patients across the lifespan. PCOS is defined by the presence of 2 or more cardinal features including ovulatory dysfunction, hyperandrogenism and polycystic ovarian morphology (PCOM). Although PCOS manifests during adolescence, delays in diagnosis are common as the cardinal features are said to overlap with characteristics of the normal adolescent reproductive transition. Current standards to define PCOS in adolescence differ from those in adulthood - they do not include PCOM owing to a lack of data. This exclusion results in a narrow spectrum of PCOS during adolescence which may not fully capture all with PCOS until 8Y post-menarche when adult-criteria for PCOM are available. Our preliminary data support that ovarian morphology has diagnostic accuracy for PCOS in adolescents and reflects the severity of reproductive and metabolic symptoms in a manner similar to adults. Further, in a longitudinal pilot evaluation of ovarian morphology in healthy adolescents, we show that ovarian markers in the first post-menarcheal year, including anti-müllerian hormone, predict persistent menstrual cycle irregularity at 2Y post-menarche suggesting that morphologic indicators precede in the timeline to aberrant reproductive maturation. We propose that an understanding of the natural history of PCOS during adolescence can provide a framework for the earliest detection and mitigation of this highly prevalent disorder. To that end, this project will define the trajectory of PCOS symptoms during early adolescence (aim 1) and develop a nomogram of ovarian form and function during the first 8 gynecological years (aim 2). Our approach involves elucidating the time course of divergences in ovarian morphology, androgen concentrations and menstrual cyclicity in adolescent cohorts who develop PCOS versus those who establish regular menstrual cycles in the first 3Y post-menarche. Further, we will conduct a cross-sectional analysis of sonographic and serum markers of PCOM across gynecological ages
Transactions
| Action | Obligated | Date |
|---|---|---|
| Amendment | $638,119 | |
| Amendment | $0 | |
| Amendment | $0 | |
| Amendment | $695,541 | |
| Original award | $695,541 |
Subawards
| Subrecipient | Amount | Awarded |
|---|---|---|
| Childrens Mercy Hospital | $156,232 | |
| University Of Rochester | $154,558 | |
| Texas A&M Agrilife Research | $112,318 | |
| Childrens Mercy Hospital | $157,050 | |
| Texas A&M Agrilife Research | $128,448 | |
| University Of Rochester | $147,406 |
Quick answers
Who received award R01HD117972?
R01HD117972 was awarded to Cornell University by National Institute of Child Health and Human Development (National Institutes of Health) on August 1, 2025.
How much is award R01HD117972 worth?
$2,029,201 has been obligated on R01HD117972.
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