针对多囊卵巢综合征(PCOS)所致女性不孕症的现行临床试验:叙述性综述。

IF 1.4 Q4 PHARMACOLOGY & PHARMACY Reviews on recent clinical trials Pub Date : 2024-10-17 DOI:10.2174/0115748871325070241008101355
Ratnakar Shukla, Muskan Chadha, Anisha Adya, Aastha Yadav, Nidhi Singh, Ranjeet Singh Chauhan, Afza Ahmad, Rohit Kumar Tiwari
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引用次数: 0

摘要

多囊卵巢综合症(PCOS)是一种影响育龄妇女的高发内分泌疾病。多囊卵巢综合症还与不孕、月经功能障碍和高雄激素有关。尽管人们对生殖生物学有了更深入的了解,但多囊卵巢综合症的确切病因仍不明确。不过,有几种因素被认为会导致多囊卵巢综合症的发生,包括胰岛素抵抗、高胰岛素血症、肥胖和遗传倾向。多囊卵巢综合征的表型具有异质性,在不同的个体身上表现出不同的症状,这使得多囊卵巢综合征的诊断变得更加复杂。目前,治疗多囊卵巢综合征引起的不孕症主要依靠适当的药物疗法,以治疗潜在症状,如使用枸橼酸氯米芬、二甲双胍、促排卵药、抗雄激素、外源性促性腺激素、腹腔镜卵巢钻孔术和体外受精。本综述重点阐述了目前对多囊卵巢综合症的治疗干预措施以及生活方式的改变。此外,它还重点介绍了目前正在进行的各种化疗药物的临床试验,以应对多囊卵巢综合症诱发的女性不孕症。
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Ongoing Clinical Trials for Polycystic Ovarian Syndrome (PCOS) Afflicted Infertility in Women: A Narrative Review.

Polycystic Ovary Syndrome (PCOS) is a highly prevalent endocrine disorder that affects women of reproductive age. PCOS is further correlated with infertility, menstrual dysfunction, and hyperandrogenism. Despite the advanced understanding of reproductive biology, the exact causes of PCOS remain ambiguous. Nevertheless, several factors are believed to contribute to the development of PCOS, including insulin resistance, hyperinsulinemia, obesity, and genetic predispositions. The diagnosis of PCOS is complicated by its phenotypic heterogeneity, which manifests differently in different individuals. Presently, the therapeutic management of PCOS-afflicted infertility depends upon proper pharmaceutical-based therapies aimed at treating underlying symptoms, such as the use of clomiphene citrate, metformin, ovulation-inducing agents, anti-androgens, exogenous gonadotropin administration, laparoscopic ovarian drilling, and in vitro fertilization. The present review focuses on narrating present therapeutic interventions along with lifestyle modifications in PCOS. Furthermore, it focuses on the ongoing clinical trials of various chemotherapeutics to counter PCOS-induced infertility among women.

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来源期刊
Reviews on recent clinical trials
Reviews on recent clinical trials PHARMACOLOGY & PHARMACY-
CiteScore
3.10
自引率
5.30%
发文量
44
期刊介绍: Reviews on Recent Clinical Trials publishes frontier reviews on recent clinical trials of major importance. The journal"s aim is to publish the highest quality review articles in the field. Topics covered include: important Phase I – IV clinical trial studies, clinical investigations at all stages of development and therapeutics. The journal is essential reading for all researchers and clinicians involved in drug therapy and clinical trials.
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