Metformin has direct effects on human ovarian steroidogenesis

Abstract

Objective To investigate the possibility of direct effects of metformin on ovarian steroidogenesis.

Design Cultured ovarian cells.

Setting Academic research environment.

Patient(s) Women undergoing bilateral salpingoophorectomy for benign gynecological disease.

Main outcome measure(s) Estradiol and P were measured in granulosa cell (GC) conditioned medium and androstenedione (A) and P in theca conditioned medium.

Result(s) The effect of addition of metformin alone to GCs was variable, but significant inhibition of both P and E2 was seen (range 0%–30%). Metformin dose-dependently inhibited gonadotrophin and insulin -stimulated P and E2 production (range 25%–50%). In theca, metformin inhibited A production (0%–40%) with no effect on P. In the presence of insulin, A was inhibited dose-dependently and P increased by a similar magnitude.

Conclusion(s) These results demonstrate a direct effect of metformin on ovarian steroidogenesis. The inhibitory effects on androgen production in particular would be beneficial in polycystic ovary syndrome (PCOS).