Analysis of Factors Affecting Obstructive Sleep Apnea in Polycystic Ovary Syndrome Infertility Combined with Obstructive Sleep Apnea

Abstract

Objective: To investigate the risk factors for obstructive sleep apnea (OSA) in infertile women with polycystic ovary syndrome (PCOS). Methods: This study enrolled 100 infertile PCOS patients. Based on polysomnography results, participants were divided into PCOS-only (AHI <5) and PCOS-OSA (AHI ≥5) groups. Clinical parameters, endocrine profiles, and metabolic markers were compared, with logistic regression analysis identifying independent risk factors. Results: Elevated body mass index (BMI), fasting insulin (INS), and triglycerides (TG) were identified as significant risk factors for OSA. In contrast, total testosterone (T) levels showed a negative association with OSA risk. Conclusions: The comorbidity of PCOS and OSA is strongly associated with disturbances in reproductive endocrine function and glycolipid metabolism. Routine OSA screening should be implemented in the clinical management of infertile PCOS patients.