ORIGINAL ARTICLE
CROSS-SECTIONAL STUDY OF EXTENDED HIGH-FREQUENCY THRESHOLDS, AUDITORY FIGURE-GROUND DISCRIMINATION, AND WORKING MEMORY IN FEMALES WITH POLYCYSTIC OVARY SYNDROME (PCOS)
,
 
Pooja Surendran 1, A-C,F
 
 
 
More details
Hide details
1
Department of Audiology, AWH Special College, Kozhikode, India
 
 
A - Research concept and design; B - Collection and/or assembly of data; C - Data analysis and interpretation; D - Writing the article; E - Critical revision of the article; F - Final approval of article;
 
 
Submission date: 2024-06-25
 
 
Final revision date: 2024-10-17
 
 
Acceptance date: 2024-10-17
 
 
Online publication date: 2025-03-28
 
 
Publication date: 2025-03-28
 
 
Corresponding author
Badariya Mohammed   

Department of Audiology, AWH Special College, Kallai, 673003, Kozhikode, India
 
 
J Hear Sci 2024;14(4):25-34
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Polycystic ovary syndrome (PCOS) affects up to 10% of reproductive-age women, yet its impact on auditory function remains underexplored. This study aimed to compare auditory and cognitive functions between PCOS patients and age-matched controls.

Material and methods:
Participants were 60 normal-hearing individuals aged 20–25 years, evenly split into two groups: Group 1 (control) consisted of unmarried females with regular menstrual cycles, and Group 2 (clinical group) comprised unmarried females diagnosed with PCOS. Auditory assessment involved extended high-frequency audiometry and speech perception in noise (SPIN) tests. Auditory working memory was evaluated through digit span and digit sequencing tasks.

Results:
Results showed significantly poorer extended high-frequency audiometry thresholds and SPIN scores in the PCOS group compared to controls. Additionally, PCOS participants performed significantly worse on the digit span task, indicating poorer auditory working memory.

Conclusions:
Extended high-frequency audiometry and reduced auditory figure-ground discrimination at low signal-to-noise ratios could potentially serve as early indicators of cochlear abnormalities at the basal end of the cochlea. Future research is needed to investigate the interplay of hormonal milieu and central processing in PCOS.
REFERENCES (53)
1.
Azziz R, Woods K, Reyna R, Key TJ, Knochenhauer ES, Yildiz BO. The prevalence and features of the polycystic ovary syndrome in an unselected population. J Clin Endocrinol Metab, 2004; 89: 2745–9. https://doi.org/10.1210/jc.200....
 
2.
Salari N, Nankali A, Ghanbari A, Jafarpour S, Ghasemi H, Dokaneheifard S, et al. Global prevalence of polycystic ovary syndrome in women worldwide: a comprehensive systematic review and meta-analysis. Arch Gynecol Obstet, 2024 Jun 26. https://doi.org/10.1007/s00404....
 
3.
Morgan CL, Jenkins-Jones S, Currie CJ, Rees DA. Evaluation of adverse outcome in young women with polycystic ovary syndrome versus matched, reference controls: a retrospective, observational study. J Clin Endocrinol Metab, 2012; 97: 3251–60. https://doi.org/10.1210/jc.201....
 
4.
Oghan F, Coksuer H. Does hyperandrogenism have an effect on hearing loss in patients with polycystic ovary syndrome? Auris Nasus Larynx, 2012; 39(4): 365–8. https://doi.org/10.1016/j.anl.....
 
5.
Kumari P, Senthil Selvam P, Sundaram MS, Manoj Abraham M, Palekar TJ, Mahalakshmi G, et al. Benefits of short structured exercise program in obese women with polycystic ovary syndrome. Ann R Soc, 2021; 25(6): 981–7.
 
6.
Fauser BCJM. Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome. Hum Reprod, 2004; 19: 41–7. https://doi.org/10.1016/j.fert....
 
7.
Sadeghi HM, Adeli I, Calina D, Docea AO, Mousavi T, Daniali M, et al. Polycystic ovary syndrome: a comprehensive review of pathogenesis, management, and drug repurposing. Int J Mol Sci, 2022; 23(2): 583. https://doi.org/10.3390/ijms23....
 
8.
Pache TD, de Jong FH, Hop WC, Fauser BC. Association between ovarian changes assessed by transvaginal sonography and clinical and endocrine signs of the polycystic ovary syndrome. Fertil Steril, 1993; 59(3): 544–9. https://doi.org/10.1016/s0015-....
 
9.
Witchel SF, Oberfield SE, Peña AS. Polycystic ovary syndrome: pathophysiology, presentation, and treatment with emphasis on adolescent girls. J Endocr Soc, 2019; 3(8): 1545–73. https://doi.org/10.1210/js.201....
 
10.
Toulis KA, Goulis DG, Mintziori G, Kintiraki E, Eukarpidis E, Mouratoglou S-A, et al. Meta-analysis of cardiovascular disease risk markers in women with polycystic ovary syndrome. Hum Reprod Update, 2011; 17(6): 741–60. https://doi.org/10.1093/humupd....
 
11.
DeUgarte CM, Bartolucci AA, Azziz R. Prevalence of insulin resistance in the polycystic ovary syndrome using the homeostasis model assessment. Fertil Steril, 2005; 83(5): 1454–60. https://doi.org/10.1016/j.fert....
 
12.
Setji TL, Holland ND, Sanders LL, Pereira KC, Diehl AM, Brown AJ. Nonalcoholic steatohepatitis and nonalcoholic fatty liver disease in young women with polycystic ovary syndrome. J Clin Endocrinol Metab, 2006; 91(5): 1741–7. https://doi.org/10.1210/jc.200....
 
13.
Fauser BC, Tarlatzis B, Rebar RW, Legro RS, Balen AH, Lobo RA, et al. Consensus on women’s health aspects of polycystic ovary syndrome (PCOS). Hum Reprod, 2012; 27(1): 14–24. https://doi.org/10.1016/j.fert....
 
14.
Kucur C, Kucur SK, Gozukara I, Seven A, Yuksel KB, Keskin N, et al. Extended high- frequency audiometry in polycystic ovary syndrome. Sci World J, 2013; 2013: 482689. https://doi.org/10.1155/2013/4....
 
15.
Sundararaj TH, Ramesh PL, Jain C. Hearing and auditory working memory in women with polycystic ovarian syndrome (PCOS). J Phonet Audiol, 2017; 3(2): 1000133. https://doi.org/10.4172/2471-9....
 
16.
Shaw GM, Jardine CA, Fridjhon P. A pilot investigation of high-frequency audiometry in obscure auditory dysfunction (OAD) patients. Br J Audiol. 1996; 30(4): 233–7. https://doi.org/10.3109/030053....
 
17.
Motlagh Zadeh L, Silbert NH, Sternasty K, Swanepoel W, Hunter LL, Moore DR. Extended high-frequency hearing enhances speech perception in noise. Proc Natl Acad Sci USA, 2019; 116(47): 23753–9. https://doi.org/10.1073/pnas.1....
 
18.
Ciuman RR. The efferent system or olivocochlear function bundle - fine regulator and protector of hearing perception. Int J Biomed Sci, 2010; 6(4): 276–88.
 
19.
Kumar DS, Mahendra S, Devi N, Jain C. Medial olivocochlear functioning and speech perception in noise in individuals with polycystic ovary syndrome. J Indian Speech Lang Hear Assoc, 2021; 35(2): 39–43. https://doi.org/10.4103/jisha.....
 
20.
Mariyam Prasad S, Jain S, Ghosh V. Development and standardization of sentences for speech in noise test in Malayalam. J India Inst Speech Hear, 2017; 36: 48–66.
 
21.
Apeksha K, Basappa A, Devananda D. High-frequency audiometry, speech perception in quiet and noise, and vestibular-evoked myogenic potential in women with polycystic ovary syndrome. Egypt J Otolaryngol, 2022; 38(1): 71. https://doi.org/10.1186/s43163...
 
22.
Schattmann L, Sherwin BB. Effects of the pharmacologic manipulation of testosterone on cognitive functioning in women with polycystic ovary syndrome: a randomized, placebo- controlled treatment study. Horm Behav, 2007; 51: 579–86. https://doi.org/10.1016/j.yhbe....
 
23.
Duff SJ, Hampson E. A beneficial effect of estrogen on working memory in postmenopausal women taking hormone replacement therapy. Horm Behav, 2000; 38(4): 262–76. https://doi.org/10.1006/hbeh.2....
 
24.
Hamson DK, Roes MM, Galea LA. Sex hormones and cognition: neuroendocrine influences on memory and learning. Compr Physiol, 2016; 6(3): 1295–337. https://doi.org/10.1002/cphy.c....
 
25.
Barnard L, Balen AH, Ferriday D, Tiplady B, Dye L. Cognitive functioning in polycystic ovary syndrome. Psychoneuroendocrinology, 2007; 32(8–10): 906–14. https://doi.org/10.1016/j.psyn....
 
26.
Schattmann L, Sherwin BB. Testosterone levels and cognitive functioning in women with polycystic ovary syndrome and in healthy young women. Horm Behav, 2007; 51: 587–96. https://doi.org/10.1016/j.yhbe....
 
27.
Perović M, Wugalter K, Einstein G. Review of the effects of polycystic ovary syndrome on cognition: looking beyond the androgen hypothesis. Front Neuroendocrinol, 2022; 67: 101038. https://doi.org/10.1016/j.yfrn....
 
28.
Hampson E, Kimura D. Sex differences and hormonal influences on cognitive function in humans. In: Behavioral Endocrinology. Becker JB, Breedlove SM, Crews D, editors. Cambridge, MA: MIT Press; 1992, 357–98.
 
29.
Barrouillet P, Mignon M, Thevenot C. Strategies in subtraction problem solving in children. J Exp Child Psychol, 2008; 99(4): 233–51. https://doi.org/10.1016/j.jecp....
 
30.
Zhao X, Zhou R. [Working memory: critical role in human cognition]. J Beijing Norm Univ (Soc Sci), 2010; 5: 38–44 [in Chinese].
 
31.
Bateman JE, Birney DP. The link between working memory and fluid intelligence is dependent on flexible bindings, not systematic access or passive retention. Acta Psychol, 2019; 199(1): 102893. https://doi.org/10.1016/j.actp....
 
32.
Zhang X, Wang W, Duan H, Zhao Y, Kan Y, Hu W. [Effect of working memory on insight and analytic problem solving]. J Psychol Sci, 2019; 42(4): 777–83 [in Chinese]. https://doi.org/10.16719/j.cnk....
 
33.
Spencer JL, Waters EM, Romeo RD, Wood GE, Milner TA, McEwen BS. Uncovering the mechanisms of estrogen effects on hippocampal function. Front Neuroendocrinol, 2008; 29(2): 219–37. https://doi.org/10.1016/j.yfrn....
 
34.
Edin F, Macoveanu J, Olesen P, Tegnér J, Klingberg T. Stronger synaptic connectivity as a mechanism behind development of working memory-related brain activity during childhood. J Cogn Neurosci, 2007; 19(5): 750–60. https://doi.org/10.1162/jocn.2....
 
35.
Greene RA, Dixon W. The role of reproductive hormones in maintaining cognition. Obstet Gynecol Clin North Am, 2002; 29(3): 437–53. https://doi.org/10.1016/s0889-....
 
36.
35a. Sanders G, Sjodin M, de Chastelaine M. On the elusive nature of sex differences in cognition: hormonal influences contributing to within sex variation. Arch Sex Behav. 2002;31: 145–52. https://doi.org/10.1023/a:1014...
 
37.
Thompson VA, Paivio A. Memory for pictures and sounds: independence of auditory and visual codes. Can J Exp Psychol, 1994; 48(3): 380–98. https://doi.org/10.1037/1196–1....
 
38.
Xie YJ, Li YY, Xie B, Xu YY, Peng L. The neural basis of complex audiovisual objects maintenance in working memory. Neuropsychologia, 2019; 133: 107189. https://doi.org/10.1016/j.neur....
 
39.
Tang X, Wu J, Shen Y. The interactions of multisensory integration with endogenous and exogenous attention. Neurosci Biobehav Rev, 2016; 61: 208–24. https://doi.org/10.1016/j.neub....
 
40.
Marian V, Blumenfeld HK, Kaushanskaya M. The Language Experience and Proficiency Questionnaire (LEAP-Q): assessing language profiles in bilinguals and multilinguals. JSLHR, 2007; 50(4): 940–67. https://doi.org/10.1044/1092-4...).
 
41.
Rashidi H, Tehrani FR, Khomami MB, Tohidi M, Azizi F. To what extent does the use of the Rotterdam criteria affect the prevalence of polycystic ovary syndrome? A community- based study from the Southwest of Iran. Eur J Obstet Gynecol Reprod Biol, 2014; 174: 100–5. https://doi.org/10.1016/j.ejog....
 
42.
40a. Kumar AU, Maruthy S. Development and test trial of computer based auditory–cognitive training module for individuals with cochlear hearing loss. Unpublished departmental project. Mysore: All India Institute of Speech and Hearing; 2013.
 
43.
Carhart R, Jerger JF. Preferred method for clinical determination of pure-tone thresholds. J Speech Hear Disord, 1959; 24(4): 330–45. https://doi.org/10.1044/jshd.2....
 
44.
Kacker SK, Basavaraj V, editors. Indian speech language and hearing tests: the ISHA battery – 1990. Mysuru: All India Institute of Speech and Hearing; 1990.
 
45.
Soumya S, Thaj S. Development of high frequency word list in Malayalam (unpublished Master’s dissertation). Calicut: AWH Special College; 2009.
 
46.
Turvey MT, Pisoni DB, Croog JF. A right-ear advantage in the retention of words presented monaurally. Haskins Labs Status Report on Speech Research SR-31/32. 1972: 67–74.
 
47.
Katz J. Central Test Battery. Vancouver, WA: Precision Acoustics; 1998.
 
48.
Asakuma S, Shida S. Sensorineural hearing loss due to vascular occlusion speculation from physiological stand point of the inner ear. Audiol Japan, 2001; 44(4): 175–80. https://doi.org/10.4295/audiol....
 
49.
Turan M, Ucler R, Garcia MF, Kurdoglu Z, Cankaya H, Ayral A, et al. The relationship between hearing thresholds and hyperandrogenism in polycystic ovary syndrome. Med Sci Monit, 2016; 22: 4380–5. https://doi.org/10.12659/msm.8....
 
50.
Guimaraes P, Frisina ST, Mapes F, Tadros SF, Frisina DR, Frisina RD. Progestin negatively affects hearing in aged women. Proc Natl Acad Sci USA, 2006; 103(38): 14246–9. https://doi.org/10.1073/pnas.0....
 
51.
Soleman RS, Kreukels BP, Veltman DJ, Cohen-Kettenis PT, Hompes PG, et al. Does polycystic ovary syndrome affect cognition? A functional magnetic resonance imaging study exploring working memory. Fertil Steril. 2016; 105(5): 1314–21. https://doi.org/10.1016/j.fert....
 
52.
Lai W, Li X, Zhu H, Zhu X, Tan H, Feng P, et al. Plasma luteinizing hormone level affects the brain activity of patients with polycystic ovary syndrome. Psychoneuroendocrinology, 2020; 112: 104535. https://doi.org/10.1016/j.psyn....
 
53.
Todd JJ, Marois R. Capacity limit of visual short-term memory in human posterior parietal cortex. Nature, 2004; 428(6984): 751–4. https://doi.org/10.1038/nature....
 
Journals System - logo
Scroll to top