Recent advances in therapeutic interventions of polycystic ovarian syndrome

Q2 Medicine Obesity Medicine Pub Date : 2024-04-03 DOI:10.1016/j.obmed.2024.100543
Sakshi Upendra Lad, Ganesh Sunil Vyas, Sharfuddin Mohd, Vijay Mishra, Sheetu Wadhwa, Saurabh Singh, Vancha Harish
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Abstract

Polycystic Ovarian Syndrome (PCOS) is a severe infertility-causing disorder rapidly affecting females of reproductive age. It is a multifaceted disorder related to the endocrine system and manifests indicators such as hyperandrogenism, anovulation, and polycystic ovaries. Other prominent characteristics include obesity, metabolic syndrome, irregular menstrual cycles, diabetes mellitus, infertility, hirsutism, acne, endometrial cancer, and cardiovascular disease. The etiopathogenesis of PCOS is not fully understood, but non-Mendelian inheritance is considered a major cause due to genetic complexity. Conventional treatments typically target individual symptoms, sometimes leading to contraindications and numerous side effects, often resulting in less effective outcomes. However, effective surgical methods recommended by professionals include Bariatric Surgery, as well as Complementary and Alternative Medicine based approaches like Moxibustion, acupuncture utilized in clinical practice, aiding patients in regaining a healthy lifestyle. Emerging approaches, such as nanotechnology-based therapies, hold promise for addressing PCOS and its related conditions simultaneously. Nanotechnology-based delivery systems possess unique properties that may enhance bioavailability and therapeutic responses. Phytochemicals represent potential futuristic candidates with multifaceted effects in managing the disease, particularly when effectively delivered through nanoparticles. In this review different aspects of therapeutic interventions are discussed thoroughly and it also highlights the challenges associated with treating PCOS, discussing various treatment options available alongside future directions.

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多囊卵巢综合症治疗干预的最新进展
多囊卵巢综合征(PCOS)是一种严重的导致不孕的疾病,可迅速影响育龄女性。它是一种与内分泌系统有关的多发性疾病,表现为高雄激素、无排卵和多囊卵巢等指标。其他突出特征包括肥胖、代谢综合征、月经周期不规律、糖尿病、不孕症、多毛症、痤疮、子宫内膜癌和心血管疾病。多囊卵巢综合征的发病机制尚未完全明了,但由于遗传的复杂性,非孟德尔遗传被认为是一个主要原因。传统的治疗方法通常针对个别症状,有时会导致禁忌症和许多副作用,结果往往效果不佳。不过,专业人士推荐的有效手术方法包括减肥手术,以及基于补充和替代医学的方法,如临床实践中使用的艾灸、针灸等,可帮助患者恢复健康的生活方式。纳米技术疗法等新兴方法有望同时治疗多囊卵巢综合症及其相关疾病。基于纳米技术的给药系统具有独特的特性,可提高生物利用率和治疗效果。植物化学物质是未来潜在的候选药物,在控制疾病方面具有多方面的作用,尤其是通过纳米颗粒有效传递时。本综述深入探讨了治疗干预措施的各个方面,还强调了治疗多囊卵巢综合症所面临的挑战,讨论了现有的各种治疗方案以及未来的发展方向。
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来源期刊
Obesity Medicine
Obesity Medicine Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.50
自引率
0.00%
发文量
74
审稿时长
40 days
期刊介绍: The official journal of the Shanghai Diabetes Institute Obesity is a disease of increasing global prevalence with serious effects on both the individual and society. Obesity Medicine focusses on health and disease, relating to the very broad spectrum of research in and impacting on humans. It is an interdisciplinary journal that addresses mechanisms of disease, epidemiology and co-morbidities. Obesity Medicine encompasses medical, societal, socioeconomic as well as preventive aspects of obesity and is aimed at researchers, practitioners and educators alike.
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