Comparison of the sex hormones’ serum level in women with recurrent aphthous stomatitis and healthy population: a cross-sectional study

Abstract

Background In this study, we aimed to evaluate the sex hormonal serum level in patients with recurrent aphthous stomatitis and compare them with healthy participants. Methods This cross-sectional study was done on patients with recurrent aphthous stomatitis who had referred to Shiraz Dental Faculty, Oral and Maxillofacial Medicine Department during 2018–2019. The non -menopause women with recurrence of at least 3 lesions per year were enrolled in this study. The mean serum level of FSH, LH, PRL (prolactin), testosterone, DHT (Dihydrotestosterone), DHEA-S (Dehydroepiandrosterone sulfate), estradiol and progesterone of 30 participants in each group of case and control were measured and compared. The data were analyzed by SPSS version 18 and independent T-test, Mann–Whitney U test, Spearman’s correlation coefficient test, Chi-square test and Fisher’s test. Results The mean serum level of DHEA-S in patients with recurrent aphthous stomatitis (RAS) was significantly lower than the control group (p value = 0.02). In addition to DHEA-S, the mean serum level of testosterone was lower in the evaluation group although this difference was not significant (p value = 0.057). Considering the effect of age on the mean serum level of sex hormones, our results revealed that only DHEA-S mean serum level was decreased by increasing the age of participants in patients with RAS (p value = 0.018). The number of participants with abnormal range of testosterone (p value < 0.0001) and progesterone (p value = 0.037) serum level was significantly more in patients with RAS. The frequency of RAS in a year did not show a significant relationship with the serum level of the evaluated hormones. Conclusion The patients with RAS had a lower serum level of DHEA-S. The mean serum level of testosterone and progesterone was significantly abnormal in RAS patients.

Causal associations between estradiol and mouth ulcers: A Mendelian randomization study

“…A cross-sectional study did not find significantly abnormal estradiol levels in women with recurrent aphthous stomatitis. [18] And B E McCartan thought there was no association between aphthous stomatitis and the premenstrual period, pregnancy, or menopause with fluctuating hormonal status. [24] These studies are not consistent in supporting the association between estradiol and mouth ulcers.…”

“…However, the evidence supporting this association was inconsistent with other studies which had shown no significant association. [18] There are conflicting accounts of the role of estradiol in mouth ulcers maybe due to the lack of clinical large sample size trials. In addition, some confounders containing unmeasured risk factors in existing trials cannot be completely ruled out.…”

The Comparative Effects of Rhus Coriaria and Triamcinolone in Patients with Recurrent Aphthous Stomatitis: A Single-Blinded Randomized Controlled Clinical Trial

“…Moreover, there are three types of RAS (minor, major, and herpetic forms) that can be clinically identified [ 1 ]. The main causes of RAS are unknown; however, some triggers for RAS outbreaks are introduced such as emotional stress, deprivation of sleep, trauma, lack of different types of vitamin B, iron and folic acid deficiencies, menstruation, anemia, and fluctuation of sex hormones in women [ 2 , 3 ]. Nevertheless, the most common treatment for RAS is symptom therapy which is focused on reducing pain [ 4 ].…”

“…Due to the aforementioned properties of Rhus coriaria, the effect of its extract has already been investigated in many different studies on oral environment [2][3][4][5]. On this basis, in a study by Kermanshah et al.…”

Hormonal Changes and Oral Health During Menopause: Review Article

“…Menstruation is a crucial physiological manifestation in the life of a woman, the hypothalamus-pituitary-ovarian axis should be actively coordinated for natural menstruation to occur. The endometrium must be sensitive to ovarian hormones, and the inflow tube must be patent; any disruption in any of these elements causes problems (Lavaee et al,2021). The ovarian secretion of estrogen and progesterone diminishes throughout the menopausal transition.…”