The role of monocyte to high-density lipoprotein cholesterol ratio in prediction of increased systemic inflammation and the risk of cardiovascular disease in endometriosis

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Bıyık İ., Keskin F., Saz N.

Journal of Experimental and Clinical Medicine, vol.38, no.2, pp.106-110, 2021 (Scopus)


Endometriosis occurs in about 5-10 in 100 women of reproductive age. The pathophysiology of endometriosis is controversial. Some studies claimed

an association between endometriosis and increased levels of inflammatory factors in peritoneal fluid and/or peripheral blood. Monocyte / HDL

cholesterol ratio (MHR) and neutrophil/lymphocyte ratio (NLR) are inflammatory markers and are used as predictors and prognostic indicators of

mortality and morbidity in many diseases. In this study, we aimed to investigate whether Monocyte / HDL cholesterol ratio (MHR) and

neutrophil/lymphocyte ratio (NLR) are increased in endometriosis as in patients with chronic inflammation and cardiovascular diseases. This is a

retrospective case-control study conducted with 87 women, 45 in the endometriosis group and 42 in the control group. The demographic data,

biochemical, complete blood count parameters and lipid profile of the cases were recorded and compared between the groups. The mean age of the

endometriosis group was 33.88 years and was older than the control group. In terms of other demographic data, there were no difference between

the two groups. Although the platelet distribution width and triglyceride values of the endometriosis group were higher than controls, they were

interpreted as clinically insignificant. There were no significant differences between the groups in terms of other laboratory parameters including

MHR and NLR. In this study, MHR and NLR are found similar in endometriosis and control groups. Further studies are needed to investigate the

relationship between increased systemic inflammation.