title: Superficial ovarian cortex vascularization is inversely related to the follicle reserve in normal cycling ovaries and is increased in polycystic ovary syndrome.
abstract: BACKGROUND
  The superficial ovarian cortex constitutes the micro-environment where resting and early growing follicles reside. As small follicles do not possess an independent capillary network, both their survival and early growth depend on their proximity to the cortical vessels. Little is known about the possible changes in superficial ovarian cortex vascularization in normal women throughout reproductive life or in pathological conditions such as polycystic ovary syndrome (PCOS) involving abnormal early follicle growth. We studied the vascularization of the superficial and deep cortical stroma (DCS) in normal cycling ovaries from 21 to 50 years of age and in infertile women with PCOS.
  
  
  METHODS
  We used archival ovarian samples and specific CD34 immunostaining to determine blood vessel density and to analyse correlation with age and with the ovarian follicle reserve.
  
  
  RESULTS
  Normal cycling ovaries showed an age-related increase in the superficial cortical stroma vascularization that was inversely correlated with the density of small (primordial and primary) follicles. In contrast, blood vessel density in the DCS significantly decreased in women aged >or=40 years. Ovaries from PCOS showed a 2-fold increase in blood vessel density in both superficial cortical stroma and DCS with respect to age-matched controls.
  
  
  CONCLUSIONS
  The increased vascularization of the superficial cortical stroma in normal ovaries in relation to age and in ovaries from PCOS could have profound effects on cortical metabolic rate, primordial follicle survival/activation and early follicle growth, and may underline changes in follicle dynamics in mid-aged women and in PCOS.
authors.affiliation: Instituto Valeciano de Infertilidad, Valencia, Spain.
authors.forename: F
authors.initials: F
authors.lastname: Delgado-Rosas
authors.forename: M
authors.initials: M
authors.lastname: Gaytán
authors.forename: C
authors.initials: C
authors.lastname: Morales
authors.forename: R
authors.initials: R
authors.lastname: Gómez
authors.forename: F
authors.initials: F
authors.lastname: Gaytán
mesh_terms: D000328:Adult; D000367:Age Factors; D005260:Female; D006801:Humans; D008597:Menstrual Cycle / Q000097:blood; D008875:Middle Aged; D018919:Neovascularization, Physiologic / Q000502:physiology*; D006080:Ovarian Follicle / Q000098:blood supply* / Q000254:growth & development; D010053:Ovary / Q000098:blood supply* / Q000473:pathology; D011085:Polycystic Ovary Syndrome / Q000098:blood supply*