The effect of alcohol on sex hormone levels in fertile aged women with chronic inflammatory diseases caused by sexually transmitted infections

Authors

DOI:

https://doi.org/10.18370/2309-4117.2025.76.51-56

Keywords:

alcohol, reproductive health, fertility, sex hormones, gonadotropins, women of fertile age, therapy, endocrine balance

Abstract

Objective of the study: to determine the effect of alcohol consumption on the levels of sex hormones, pituitary gonadotropins, and the overall endocrine balance in women of reproductive age. Special emphasis was placed on the impact of alcohol on reproductive health and fertility, particularly in cases where alcohol consumption is accompanied by chronic inflammatory diseases (CID) caused by sexually transmitted infections.
Materials and methods. This case-control study involved the analysis of blood samples. It included 120 women of fertile age, divided into groups: 40 women with alcohol dependence and CID of reproductive system, 40 women with alcohol dependence without CID of the reproductive system, 40 healthy participants. Determination of concentrations of key hormones (follicle-stimulating and luteinizing hormones, estradiol, progesterone, cortisol and prolactin) was carried out using validated enzyme-linked immunosorbent assay systems, which allowed assessing violations of the hormonal profile and endocrine balance. Women with alcohol dependence underwent complex therapy aimed at normalizing the hormonal background.
Results. The results demonstrated that alcohol consumption leads to significant disruptions in endocrine homeostasis. Specifically, in women with alcohol dependence: follicle-stimulating hormone levels were markedly increased relative to luteinizing hormone (with follicle-stimulating hormone values approximately twice as high), there was a notable decrease in estradiol and progesterone levels, elevated levels of cortisol and prolactin. These hormonal imbalances cause reproductive dysfunctions such as anovulation, amenorrhea, and reduced fertility, adversely affecting reproductive health.
Conclusions. Alcohol consumption adversely affects the reproductive health of women of reproductive age by disrupting the balance of sex hormones and gonadotropins. Therapeutic interventions aimed at normalizing the endocrine profile can restore hormonal balance and improve reproductive function. Further research is needed to develop effective preventive and therapeutic strategies to mitigate the negative impact of alcohol on fertility and overall reproductive health.

Author Biographies

Vl.V. Podolskyi, SI “All-Ukrainian Centre for Motherhood and Childhood of the NAMS of Ukraine”, Kyiv

MD, chief researcher, head of the Department of Health Problems of Fertile Aged Women;
President of the NGO «Association of Psychosomatic Obstetrics and Gynecology»;
Honored Doctor of Ukraine

V.V. Podolskyi, SI «All-Ukrainian Centre for Motherhood and Childhood of the NAMS of Ukraine»; SI “All-Ukrainian Centre for Motherhood and Childhood of the NAMS of Ukraine”, Kyiv

MD, professor, deputy director;
head of the Department of Health problems of Fertile Aged Women;

Y.M. Rybinskyі, SI «All-Ukrainian Centre for Motherhood and Childhood of the NAMS of Ukraine», Kyiv

postgraduate student, Department of Health Problems of Fertile Aged Women

References

  1. Holzhauer CG, Wemm SE, Wulfert E, CaoZT. Fluctuations in progesterone moderate the relationship between daily mood and alcohol use in young adult women. Addict Behav. 2020 Feb:101:106146. DOI: 10.1016/j.addbeh.2019.106146
  2. Weinland C, Mühle C, von Zimmermann C, et al. Sulphated dehydroepiandrosterone serum levels are reduced in women with alcohol use disorder and correlate negatively with craving: A sex-separated cross-sectional and longitudinal study. Addict Biol. 2022. 27(2):e13135. DOI: 10.1111/adb.13135
  3. Kolla BP, Winham SJ, Ho AM-C, et al. The Interaction Between Brain-Derived Neurotrophic Factor Levels and Alcohol Consumption, Sleep Disturbance and Sex-Hormones in Alcohol Use Disorders. Alcohol Alcohol, 2023. 58(2):209–215. DOI: 10.1093/alcalc/agad001
  4. Finn DA. The Endocrine System and Alcohol Drinking in Females. Alcohol Res. 2020. 40(2):02. DOI: 10.35946/arcr.v40.2.02
  5. Yeap BB, Marriott RJ, Dwivedi G, et al. Associations of Testosterone and Related Hormones With All-Cause and Cardiovascular Mortality and Incident Cardiovascular Disease in Men: Individual Participant Data Meta-analyses. Ann Intern Med, 2024. 177(6):768–781. DOI: 10.7326/M23-2781
  6. Handy AB, Greenfield SF, Payne LA. Estrogen and alcohol use in women: a targeted literature review. Arch Womens Ment Health. 2025 Feb;28(1):81–93. DOI: 10.1007/s00737-024-01483-9
  7. Regan L, Rai R, Saravelos S, et al. Recurrent MiscarriageGreen-top Guideline No. 17. Bjog, 2023. 130(12):e9–e39. DOI: 10.1111/1471-0528.17515
  8. Iervolino M, Lepore E, Forte G, et al. Natural Molecules in the Management of Polycystic Ovary Syndrome (PCOS): An Analytical Review. Nutrients. 2021 May 15;13(5):1677. DOI: 10.3390/nu13051677
  9. Vinogradova Y, Coupland C, Hippisley-Cox J. Use of hormone replacement therapy and risk of breast cancer: nested case-control studies using the QResearch and CPRD databases. BMJ. 2020. 371:m3873. DOI: 10.1136/bmj.m3873
  10. Tin Tin S, Smith-Byrne K, Ferrari P, et al. Alcohol intake and endogenous sex hormones in women: Meta-analysis of cohort studies and Mendelian randomization. Cancer. 2024. 130(19):3375–3386. DOI: 10.1002/cncr.35391
  11. Dorgan JF, Jung S, Dallal CM, et al. Alcohol consumption and serum metabolite concentrations in young women. Cancer Causes Control. 2020. 31(2):113–126. DOI: 10.1007/s10552-019-01256-1
  12. Peltier MR, Verplaetse TL, Mineur YS, et al. Sex differences in progestogen- and androgen-derived neurosteroids in vulnerability to alcohol and stress-related disorders. Neuropharmacology, 2021. 187:108499. DOI: 10.1016/j.neuropharm.2021.108499
  13. Tin Tin S, Key TJ, Reeves GK. Alcohol Intake and Endogenous Hormones in Pre- and Postmenopausal Women: Findings from the UK Biobank. Cancer Epidemiol Biomarkers Prev, 2021. 30(12):2294–2301.
  14. Islam RM, Bell RJ, Handelsman DJ, et al. Associations between blood sex steroid concentrations and risk of major adverse cardiovascular events in healthy older women in Australia: a prospective cohort substudy of the ASPREE trial. Lancet Healthy Longev, 2022. 3(2):e109–e118. DOI: 10.1016/S2666-7568(22)00001-0
  15. Chipps BE, Israel E, Beasley R, et al. Albuterol-Budesonide Pressurized Metered Dose Inhaler in Patients With Mild-to-Moderate Asthma: Results of the DENALI Double-Blind Randomized Controlled Trial. Chest. 2023. 164(3):585–595. DOI: 10.1016/j.chest.2023.03.035
  16. Sultana F, Davis SR, Murray AM, et al. Sex hormones, SHBG and cognitive performance among older Australian women: an observational study. Climacteric. 2023. 26(2):121–128. DOI: 10.1080/13697137.2023.2166824
  17. Sparaco M, Carbone L, Landi D, et al. Assisted Reproductive Technology and Disease Management in Infertile Women with Multiple Sclerosis. CNS Drugs. 2023. 37(10):849–866. DOI: 10.1007/s40263-023-01036-1
  18. Louvet A, Labreuche J, Dao T, et al. Effect of Prophylactic Antibiotics on Mortality in Severe Alcohol-Related Hepatitis: A Randomized Clinical Trial. JAMA. 2023. 329(18):1558–1566. DOI: 10.1001/jama.2023.4902
  19. Li W, Huang J, Chen J, et al. Associations between serum testosterone levels and overactive bladder in women: a cross-sectional research of NHANES 2011 to 2016. Int Urol Nephrol. 2024. 56(8):2521–2529. DOI: 10.1007/s11255-024-03996-9
  20. Takala H, Yang Q, El Razek AMA, et al. Alcohol Consumption and Risk of Uterine Fibroids. Curr Mol Med. 2020. 20(4):247–258. DOI: 10.2174/1566524019666191014170912
  21. Lee JH, Lee JE, Harsh V, Clayton AH, et al. Pharmacotherapy for Sexual Dysfunction in Women. Curr Psychiatry Rep. 2022. 24(2):99–109. DOI: 10.1007/s11920-022-01322-7
  22. Dinicola S, Unfer V, Facchinetti F, et al. Inositols: From Established Knowledge to Novel Approaches. Int J Mol Sci, 2021. 22(19). DOI: 10.3390/ijms221910575
  23. Maddern XJ, Ursich LT, Bailey G, et al. Sex Differences in Alcohol Use: Is It All About Hormones? Endocrinology, 2024. 165(9). DOI: 10.1210/endocr/bqae088
  24. Pustotina O, Myers SH, Unfer V, Rasulova I. The Effects of Myo-Inositol and D-Chiro-Inositol in a Ratio 40:1 on Hormonal and Metabolic Profile in Women with Polycystic Ovary Syndrome Classified as Phenotype A by the Rotterdam Criteria and EMS-Type 1 by the EGOI Criteria. Gynecol Obstet Invest. 2024. 89(2):131–139. DOI: 10.1159/000536163
  25. Díaz-Del Cerro E, Félix J, Tresguerres J, De la Fuente M. Improvement of several stress response and sleep quality hormones in men and women after sleeping in a bed that protects against electromagnetic fields. Environ Health. 2022. 21(1):72. DOI: 10.1186/s12940-022-00882-8
  26. Li X, Hur J, in Cao Y, et al. Moderate alcohol consumption, types of beverages and drinking pattern with cardiometabolic biomarkers in three cohorts of US men and women. Eur J Epidemiol. 2023. 38(11):1185–1196. DOI: 10.1007/s10654-023-01053-w
  27. Papi A, Ferreira DS, Agache I, et al. European Respiratory Society short guidelines for the use of as-needed ICS/formoterol in mild asthma. Eur Respir J. 2023. 62(4). DOI: 10.1183/13993003.00047-2023
  28. Arnold ME, Schank JR. Aversion-associated drug and alcohol seeking in females. Front Neuroendocrinol. 2023. 71:101095. DOI: 10.1016/j.yfrne.2023.101095
  29. Pkhaladze L, Russo M, Unfer V, et al. Treatment of lean PCOS teenagers: a follow-up comparison between Myo-Inositol and oral contraceptives. Eur Rev Med Pharmacol Sci. 2021. 25(23):7476–7485. DOI: 10.26355/eurrev_202112_27447
  30. Li X, Ye H, Su T, et al. Immunity and reproduction protective effects of Chitosan Oligosaccharides in Cyclophosphamide/Busulfan-induced premature ovarian failure model mice. Front Immunol, 2023. 14:1185921. DOI: 10.3389/fimmu.2023.1185921

Published

2025-03-31

How to Cite

Podolskyi, V., Podolskyi, V., & Rybinskyі Y. (2025). The effect of alcohol on sex hormone levels in fertile aged women with chronic inflammatory diseases caused by sexually transmitted infections. REPRODUCTIVE ENDOCRINOLOGY, (76), 51–56. https://doi.org/10.18370/2309-4117.2025.76.51-56

Issue

Section

Interdisciplinary problems