Dilbaz B et al.2026The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception
OBJECTIVE: This debate paper aims to examine the effects of glucagon-like peptide-1 receptor agonists (GLP-1 RAs), whose use in obesity and diabetes management has rapidly expanded, on fertility, cont...
Curcumin, a bioactive polyphenol derived from turmeric (Curcuma longa), has garnered substantial attention for its potent anti-inflammatory, antioxidant, and antineoplastic properties. This review exp...
Ursolic Acid (UA), a naturally occurring pentacyclic triterpene, was isolated from Ochrosia elliptica. Polycystic Ovary Syndrome (PCOS) a prevalent endocrine disorder characterized by hyperandrogenism...
Natural CompoundsAntioxidant TherapyHyperandrogenism and Steroidogenesis
STUDY QUESTION: Is there a difference in live birth rates at 24 months between infertile women with polycystic ovary syndrome (PCOS) who have normal versus abnormal glucose metabolism?
SUMMARY ANSWER...
Tadesse TM2026Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology
OBJECTIVE: To review the mechanism of action, epidemiology, clinical efficacy, factors influencing treatment outcomes, and limitations of clomiphene citrate (CC).
METHODS: A systematic literature sea...
The primary objective of polycystic ovarian syndrome (PCOS) treatment is to achieve mono-ovulatory cycles, thereby enabling pregnancy and childbirth. Laparoscopic ovarian drilling (LOD) and transvagin...
Nelson K et al.2025
Open Access
Journal of the Endocrine Society
Disclosure: K. Nelson: None. J. Singer: None. A. Pederson: None. D. Kalidasan: None. J. Prior: None.
Polycystic ovary syndrome (PCOS) is an endocrine-metabolic disorder that significantly decreases he...
Background/Objectives: Quantitative urine monitors are increasingly being used for a personalized approach to improve menstrual cycle knowledge and to manage fertility. Although several studies have e...
Objectives: The objective of this study is to test the association between preconception polycystic ovary syndrome (PCOS) and gestational diabetes mellitus (GDM) using Utah's Pregnancy Risk Assessment...
Gestational DiabetesMetabolic DisordersPCOS and Pregnancy Risk
Brand KM et al.2025Women's health (London, England)
Influential guidelines have supported the role of metformin in the management of polycystic ovary syndrome (PCOS) for a number of years. However, regulatory approvals for this therapeutic indication a...
Ahsan M et al.2025The Indian journal of medical research
Background & objectives Polycystic ovary syndrome (PCOS) is a common endocrinopathy characterised by menstrual irregularities, hirsutism, acne, obesity, infertility, and other features adversely affec...
Polycystic Ovary Syndrome (PCOS) affects many people and is often distressing. Much medical literature about diagnosis and treatment exists, but little is known about PCOS menstrual cycle-related expe...
Joshi A2024Frontiers in Cell and Developmental Biology
Globally, polycystic ovarian syndrome (PCOS) affects approximately 10% of fertile women, leading to great health and economic burden. PCOS is a heterogenous illness that can cause infertility, irregul...
The use of platelet-rich plasma (PRP) has become popular as an adjunct to fertility treatment for women with infertility, particularly those with low ovarian reserve and premature ovarian insufficienc...
Schliep KC et al.2023
Open Access
AJOG Global Reports
Background: Polycystic ovarian syndrome and endometriosis are 2 of the most common reproductive disorders among women but are thought to be unrelated.
Objective: This study aimed to examine the overl...
PCOS Co-OccurrenceEndometriosis OverlapEndometriosis vs PCOS
Prior JC et al.2023Expert Review of Endocrinology & Metabolism
Introduction: Bone health in those with Polycystic Ovary Syndrome (PCOS) is complex, but the general consensus is that cortical areal bone mineral density (aBMD) sites will be higher in PCOS than in a...
Mosorin ME et al.2023
Open Access
Journal of Clinical Medicine
This clinical trial aims to compare hormonal and metabolic changes after a 9-week continuous use of oral or vaginal combined hormonal contraceptives (CHCs) in women with polycystic ovary syndrome (PCO...
Kicińska AM et al.2023
Open Access
Healthcare (Basel, Switzerland)
Polycystic ovary syndrome (PCOS) is the most common cause of anovulatory infertility. Absent, impaired, or rare ovulation induces progesterone deficiency in the luteal phase, which is a critical probl...
Greff D et al.2023
Open Access
Reproductive Biology and Endocrinology : RB&E
Background: Metformin is the gold standard insulin sensitizer, which is widely used to treat insulin resistance in polycystic ovary syndrome (PCOS). However, metformin may induce gastrointestinal side...
Neblett MF 2nd et al.2023Journal of assisted reproduction and genetics
PURPOSE: To assess efficacy of adjuvant dexamethasone during letrozole cycles for ovulation induction (OI) in women with letrozole-resistant polycystic ovary syndrome (PCOS).
METHODS: We retrospectiv...
RESEARCH Question: Is sequential letrozole/human menopausal gonadotrophin (HMG) superior to letrozole alone in ovulation induction and pregnancy promotion among infertile women with polycystic ovary s...
Fugal AD et al.2022
Open Access
AJOG global reports
Background: Women with polycystic ovary syndrome experience increased health complications during and after pregnancy, including a higher prevalence of postpartum depression. Although previous researc...
Yang R et al.2022
Open Access
The Lancet Regional Health. Western Pacific
Background: Polycystic ovary syndrome (PCOS) has become a major international public health concern. However, because of controversy about the diagnostic criteria and patient selection, estimates of i...
Background: Polycystic Ovarian Syndrome (PCOS), the most common reproductive endocrine disorder affecting premenopausal women, is frequently associated with central obesity and pancreatic β-cell dysfu...
Polycystic ovary syndrome (PCOS) is one of the most common endocrine diseases among women of reproductive age and is associated with many metabolic manifestations, such as obesity, insulin resistance ...
Westerman R et al.2021
Open Access
Reproductive Biomedicine & Society Online
Metabolic risk factors such as obesity are considered major obstacles to female fertility. Chronic infertility imposes psychological and social burdens on women because infertility violates societal g...
Shirin S et al.2021
Open Access
Medicina (Kaunas, Lithuania)
Background and Objectives: Women with androgenic Polycystic Ovary Syndrome (PCOS) have increased endometrial cancer risk that cyclic progesterone will prevent; it may also reverse PCOS's neuroendocrin...
Deswal R et al.2021
Open Access
Journal of Human Reproductive Sciences
Background: Polycystic ovary syndrome (PCOS), the major endocrinopathy among reproductive-aged women, is not yet perceived as an important health problem in the world. It affects 4%-20% of women of re...
Koric A et al.2021American Journal of Obstetrics and Gynecology
Background: Women with polycystic ovary syndrome are more likely to experience several pregnancy complications including hypertensive disorders, gestational diabetes mellitus, and preterm births than ...
Androgenic Polycystic Ovary Syndrome (PCOS) creates physical/emotional burdens in 4-20% of premenopausal women living with PCOS (WLWP) including: few menstruations per year, subfertility, hirsutism/ac...
Progesterone TherapyAnti-Androgen TherapyFeasibility and Pilot Studies
Hu Q et al.2020
Open Access
The Utah Women's Health Review
Objective: To investigate the association between pre-pregnancy body mass index (BMI) and subfertility within a population-based cohort, exploring Hispanic ethnicity as a potential effect modifier.
M...
Shirin S et al.2020
Open Access
Journal of the Endocrine Society
Endometrial cancer1 and oligomenorrhea2 are common risks for women living with androgenic PCOS (WLWP); cyclic progesterone therapy could prevent both. Cyclic oral micronized progesterone therapy (Cycl...
Shirin S et al.2020
Open Access
Journal of the Endocrine Society
Women living with androgenic PCOS (WLWP) experience unpredictable oligomenorrhea1 and are at increased risk for endometrial cancer2. Oral micronized progesterone (OMP) given cyclically (14 days/cycle ...
Xie L et al.2020
Open Access
Evidence-based Complementary and Alternative Medicine : eCAM
Purpose: To assess the efficacy and safety of berberine on reproductive endocrine and metabolic outcomes in women with polycystic ovary syndrome (PCOS).
Methods: PubMed (from 1950), the Cochrane Libr...
Costello MF et al.2019The Australian & New Zealand Journal of Obstetrics & Gynaecology
Background: Polycystic ovary syndrome (PCOS) is complex with reproductive, metabolic and psychological features. Infertility is a prevalent presenting feature of PCOS with approximately 75% of these w...
Coyle C et al.2019Molecular and Cellular Endocrinology
Polycystic ovary syndrome (PCOS) is a highly prevalent endocrine disorder associated with hyperandrogenism and anovulation. Although a spectrum disorder, many women with PCOS exhibit elevated luteiniz...
Contreras PH et al.2019
Open Access
Journal of the Endocrine Society
Objective: To evaluate the diagnostic performance of several biochemical predictors of insulin resistance (IR).
Design: A total of 90 nondiabetic subjects were tested with both the pancreatic suppress...
Liang B et al.2019
Open Access
Journal of the Endocrine Society
Polycystic Ovary Syndrome (PCOS) affects 5-20% of reproductive-aged women and is associated with lower Health-Related Quality of Life (HRQoL)1,2,3. HRQoL in PCOS, however, is often determined in small...
Polycystic ovary syndrome (PCOS) is a reproductive, endocrine, and metabolic disorder affecting millions of women worldwide. Women with PCOS are often identified in adolescence or early adulthood with...
Metabolic and Cardiovascular RiskPostmenopausal HealthPsychological Health
Chandrasekaran S et al.2018The Obstetrician & Gynaecologist
Key content The risk factors for metabolic syndrome include central obesity, hypertension, atherogenic dyslipidaemia and insulin resistance. Metabolic syndrome affects 33% of women with polycystic ova...
Polycystic ovary syndrome (PCOS) is the main cause of female infertility worldwide and corresponds with a high degree of comorbidities and economic burden. How PCOS is passed on from one generation to...
Yang PK et al.2018The Journal of Clinical Endocrinology and Metabolism
CONTEXT: The long-term effects of metformin in women with polycystic ovarian syndrome (PCOS) are inadequately studied.
OBJECTIVE: The effects of metformin on women with PCOS during 24 months with res...
Metformin TherapyTestosterone and LHLong-Term Treatment Outcomes
Carpentier PA2018Journal of Clinical Endocrinology & Metabolism
Context: The long-term effects of metformin in women with polycystic ovarian syndrome (PCOS) are inadequately studied.
Objective: The effects of metformin on women with PCOS during 24 months with res...
Metformin TherapyTestosterone and LHLong-Term Treatment Outcomes
Laganà AS et al.2017
Open Access
International Journal of Endocrinology and Metabolism
Polycystic ovary syndrome (PCOS)’s rate is about 6% to10% among the reproductive aged women; it is characterized by menstrual cycle irregularity with oligo-anovulation, hyperandrogenism, insulin resis...
Myo-Inositol and D-Chiro-Inositol SupplementationInositol TherapyNon-Pharmaceutical Ovulation Restoration
OBJECTIVES: Curcumin protects the liver against injury and fibrosis through suppressing hepatic inflammation, attenuating hepatic oxidative stress (OS), and inhibiting hepatic stellate cells (HSCs) ac...
Curcumin Anti-Inflammatory EffectsCurcumin InterventionPCOS Hepatic Inflammation Study
The aim of the present study was to demonstrate that the use of inositol and folic acid from the first trimester of pregnancy, counteracts the onset of gestational diabetes mellitus (GDM) in women at ...
Inositol Prevention StrategyInositol Supplementation in PregnancyGDM Prevention with Inositol
Kalyan S et al.2017
Open Access
Scientific Reports
Chronic inflammation predisposes to poor bone health. Women with polycystic ovary syndrome (PCOS) experience androgen excess, ovulatory disturbances, insulin resistance, abdominal adiposity and chroni...
OBJECTIVE: To our knowledge, data on comparison of myo-inositol and metformin on clinical, metabolic and genetic parameters in subjects with polycystic ovary syndrome (PCOS) are limited. This study wa...
Myo-InositolMetformin ComparisonInflammation and Gene Expression
Ke H et al.2017Reproductive Sciences (Thousand Oaks, Calif.)
Tamoxifen has played a vital role in endocrine therapy for the treatment of estrogen receptor-positive breast cancer. We examined the effect of tamoxifen in patients with a thin endometrium in frozen-...
Bani Mohammad M et al.2017Asian Pacific Journal of Cancer Prevention : APJCP
The polycystic ovary syndrome (PCOS) is the most common cause of anovulatory infertility and a notable proportion of women of reproductive age are affected. It may constitute a risk factor for cancer ...
The topic of how the menstrual cycle is a vital sign which could signal pathophysiologic process has received considerable attention in the past decade. The current recommendations of various academic...
Gibson-Helm M et al.2016The Journal of Clinical Endocrinology and Metabolism
Context: Polycystic ovary syndrome (PCOS) is a complex, chronic, and under-recognized disorder. Diagnosis experience may have lasting effects on well-being and self-management.
Objective: To investig...
Fruzzetti F et al.2016Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology
Insulin resistance (IR) plays a pivotal role in PCOS. Insulin-sensitizer agents such as metformin and inositols have been shown to improve the endocrine and metabolic aspects of PCOS. The purpose of t...
Regidor PA et al.2016
Open Access
International Journal of Endocrinology
The use of 2 × 2000 mg myoinositol + 2 × 200 μg folic acid per day is a safe and promising tool in the effective improvement of symptoms and infertility for patients with a polycystic ovary syndrome (...
Polycystic ovary syndrome is the most common endocrinopathy among reproductive-aged women in the United States, affecting approximately 7% of female patients. Although the pathophysiology of the syndr...
Bil E et al.2016The Journal of Obstetrics and Gynaecology Research
Aim: It is unknown which phenotype of polycystic ovary syndrome (PCOS) has a greater metabolic risk and how to detect this risk. The aim of this study was therefore to compare the incidence of metabol...
Metabolic SyndromeRotterdam CriteriaVisceral Adiposity Index
Sjaarda LA et al.2014The Journal of clinical endocrinology and metabolism
Context: Hyperandrogenism is a hallmark of polycystic ovary syndrome (PCOS) in women with irregular menses, yet the relationship between androgens and ovarian dysfunction remains poorly understood in ...
Sunj M et al.2013Human Reproduction (Oxford, England)
STUDY Question: Does unilateral volume-adjusted laparoscopic diathermy increase the chances of ovulation in women with polycystic ovary syndrome (PCOS)?
SUMMARY ANSWER: Although unilateral laparoscop...
Lainas GT et al.2013Human reproduction (Oxford, England)
STUDY QUESTION: Do high-risk patients who develop severe early ovarian hyperstimulation syndrome (OHSS) and receive low-dose GnRH antagonist in the luteal phase have lower live birth rates compared wi...
Shamim N et al.2012
Open Access
Indian Journal of Endocrinology and Metabolism
Polycystic Ovary Syndrome (PCOS) is a leading cause of infertility. We studied the rheological properties of cervical-vaginal secretions in five PCOS patients during variable treatment intervals with ...
Kumar P et al.2012
Open Access
Journal of Human Reproductive Sciences
Use of metformin throughout pregnancy in women with polycystic ovary syndrome (PCOS) has shown to reduce the rates of early pregnancy loss, preterm labor, and prevention of fetal growth restriction. M...
Vitamin D deficiency is common in women with polycystic ovary syndrome (PCOS), with the 67-85% of women with PCOS having serum concentrations of 25-hydroxy vitamin D (25OHD) <20 ng/ml. Vitamin D defic...
Vitamin D DeficiencyNutritional SupplementationInsulin Resistance
Oner G et al.2011European Journal of Obstetrics, Gynecology, and Reproductive Biology
OBJECTIVE: To evaluate the clinical, endocrine and metabolic effects of metformin and N-acetyl-cysteine (NAC) in patients with polycystic ovary syndrome (PCOS).
STUDY DESIGN: In this prospective tria...
Bremer AA2010Metabolic Syndrome and Related Disorders
Polycystic ovary syndrome (PCOS) is a common disorder characterized by hyperandrogenism and disordered gonadotropin secretion, often associated with insulin resistance. The syndrome, which modulates b...
Objective: To summarize physiological and psychological characteristics that are common among women diagnosed with polycystic ovary syndrome (PCOS) and provide evidence suggesting that addressing psyc...
Hickey M et al.2009
Open Access
Women's Health (London, England)
Abnormal uterine bleeding imposes major medical, social and financial problems for women, their families and the health services. Abnormal uterine bleeding refers to the regularity, frequency, duratio...
Costantino D et al.2009European review for medical and pharmacological sciences
To investigate the effects of treatment with Myo-inositol (an insulin sensitizing drug), on circulating insulin, glucose tolerance, ovulation and serum androgens concentrations in women with the Polyc...
Two types of cervical mucus are recognized, oestrogenic and gestagenic. These are constituted by different subtypes, and their characteristics change depending on variations in the hormonal levels and...
Gerli S et al.2007European Review for Medical and Pharmacological Sciences
Oligomenorrhea and polycystic ovaries in women are one of the most important causes of the high incidence of ovulation failure. This is linked, perhaps, to insulin resistance and related metabolic fea...
Vigil P et al.2007Human Reproduction (Oxford, England)
Background: Polycystic ovary syndrome (PCOS) is non-uniformly associated with insulin resistance (IR). We examined IR in women with PCOS.
Methods: Sixty-nine PCOS women were subjected to the insulin ...
Badawy A et al.2007Acta Obstetricia Et Gynecologica Scandinavica
Objective: To compare clomiphene citrate plus N-acetyl cysteine versus clomiphene citrate for inducing ovulation in patients with polycystic ovary syndrome.
Design: Prospective cross-over trial.
Setti...
Khattab S et al.2006Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology
BACKGROUND: Women with polycystic ovary syndrome (PCOS) are considered to be at increased risk of miscarriage. Since metformin has beneficial effects on the risk factors contributing to first-trimeste...
Farquhar CM2005Current Opinion in Obstetrics & Gynecology
PURPOSE OF Review: Women with polycystic ovarian syndrome are typically anovulatory and require ovulation induction. Ovarian wedge resection was the first treatment for anovulation but was eventually ...
Barron ML2004The Journal of Perinatal & Neonatal Nursing
The goal of an integrative science of women's health is bringing together childbearing with women's health during the lifespan. Enhancing a woman's ability to conceive and maintain a pregnancy is infl...
Since the 1990 National Institutes of Health-sponsored conference on polycystic ovary syndrome (PCOS), it has become appreciated that the syndrome encompasses a broader spectrum of signs and symptoms ...
Rotterdam Consensus CriteriaHyperandrogenism and Insulin ResistanceCardiovascular and Metabolic
OBJECTIVE: To evaluate the effects of metformin administration on spontaneous LH episodic release in a group of nonobese polycystic ovary (PCOS) patients.
DESIGN: Controlled clinical study.
SETTING:...
MetforminPulsatility and PCOSInsulin Resistance in Nonobese Patients
Moran C et al.2003Seminars in Reproductive Medicine
Polycystic ovary syndrome (PCOS) affects about 4 to 6% of women of reproductive age and accounts for at least 75% of hyperandrogenic patients. PCOS is diagnosed by the presence of oligo-ovulation and ...
OBJECTIVE: To assess the effectiveness of metformin in improving clinical and biochemical features of polycystic ovary syndrome.
DESIGN: Systematic review and meta-analysis.
DATA SOURCES: Randomised...
Kurabayashi T et al.2003The Journal of Reproductive Medicine
OBJECTIVE: To analyze retrospectively the frequency, long-term prognosis and pregnancy rate in infertile women diagnosed with endometrial hyperplasia or carcinoma by endometrial biopsy.
STUDY DESIGN:...
Endometrial Biopsy AbnormalitiesEndometrial Carcinoma RiskHyperplasia and Carcinoma
OBJECTIVE: To investigate the relation between intra-abdominal fat distribution and metabolic disorders in nonobese patients with the polycystic ovary syndrome (PCOS).
DESIGN: Prospective case-contro...
Objective: To evaluate the effects of laparoscopic ovarian wedge resection on hormonal and metabolic parameters of polycystic ovary syndrome (PCOS) and to compare profiles of women who achieved pregna...
Ovarian Wedge ResectionInsulin and Lipid ProfilesOvarian Surgery for PCOS
OBJECTIVE: To investigate the possibility of direct effects of metformin on ovarian steroidogenesis.
DESIGN: Cultured ovarian cells.
SETTING: Academic research environment.
PATIENT(S): Women underg...
OBJECTIVE: In women suffering from polycystic ovary syndrome (PCOS), correction of hyperinsulinemia results enhances spontaneous ovulation or alternatively, the responsiveness to ovulation induction a...
Yildirim M et al.2003European Journal of Obstetrics, Gynecology, and Reproductive Biology
OBJECTIVE: To determine the effects of ovarian wedge resection by minilaparotomy in infertile patients with polycystic ovarian syndrome (PCOS).
STUDY DESIGN: One hundred and thirty-four anovulatory p...
McCartney CR et al.2003Seminars in Reproductive Medicine
Polycystic ovary syndrome (PCOS) is a disorder characterized by hyperandrogenism and chronic anovulation. Although the etiology of PCOS is unknown, perturbations of gonadotropin secretion are one of t...
Neuroendocrine DysfunctionGnRH PulsatilityHyperandrogenism and Anovulation
OBJECTIVE: To review the effectiveness of metformin in restoring regular menstrual cycles and ovulation and achieving pregnancy in women with polycystic ovary syndrome (PCOS).
DESIGN: Systematic revi...
OBJECTIVE: To investigate the effects of reduction of insulin resistance and hyperinsulinemia associated with the polycystic ovary syndrome (PCOS) on FSH-stimulated ovarian aromatase activity.
DESIGN...
MetforminInsulin Resistance and HyperandrogenismAromatase Activity
Hirsutism is a very common clinical problem encountered in daily practice, and, unfortunately, its treatment is far from satisfactory. In several studies, antiandrogens were given in combination with ...
OBJECTIVE: To review the evidence that polycystic ovary syndrome is a genetic disease.
DESIGN: Review of published literature.
RESULTS: The existing literature provides a strong basis for arguing th...
OBJECTIVE: To determine whether insulin resistance is associated with recurrent pregnancy loss (RPL).
DESIGN: Single center, case-controlled, prospective study.
SETTING: University-associated reprod...
Insulin ResistanceInsulin Resistance and PregnancyFasting Insulin and Glucose
Insulin resistance is a prominent feature of polycystic ovarian syndrome (PCOS), and women with the disorder are at increased risk for the development of other diseases that have been linked to insuli...
MetforminInsulin Resistance and Diabetes RiskMetabolic Effects in PCOS
OBJECTIVE: To determine whether self-selected women with polycystic ovary syndrome (PCOS) are abnormal compared with a control population.
DESIGN: Case-control.
SETTING: Support group meeting organi...
OBJECTIVE: To evaluate the effect of N-acetyl-cysteine (NAC) on insulin secretion and peripheral insulin resistance in subjects with polycystic ovary syndrome (PCOS).
DESIGN: Prospective data analysi...
OBJECTIVE: To compare the effects of cyproterone acetate and desogestrel, as part of combined oral contraceptives, on lipid metabolism and hirsutism of adolescents with polycystic ovary syndrome (PCOS...
OBJECTIVE: To assess whether metformin safely reduced development of gestational diabetes in women with the polycystic ovary syndrome (PCOS).
DESIGN: Prospective and retrospective study.
SETTING: Ou...
Metformin in PregnancyGestational Diabetes PreventionPCOS Management
OBJECTIVE: To determine the metabolic and reproductive effectiveness of rosiglitazone in polycystic ovary syndrome (PCOS).
DESIGN: Case report.
SETTING: Academic clinical practice and General Clinic...
OBJECTIVE: To investigate differences in immature oocyte maturation, fertilization, and pregnancy rates among women with unstimulated normal ovaries, polycystic ovaries (PCOs), or PCOS.
DESIGN: Prosp...
In Vitro MaturationIn Vitro Oocyte MaturationMaturation and Fertilization
Polycystic ovary syndrome (PCOS) is a common disorder affecting women of reproductive age. Its cardinal features are hyperandrogenism, chronic anovulation, and infertility. Some of the most important ...
OBJECTIVE: To examine the direct effect of metformin on thecal cell androgen production.
SETTING: Basic science research laboratory, University of Texas Southwestern, Dallas, Texas.
INTERVENTION(S):...
Ovarian Androgen ProductionMetformin Mechanism of ActionThecal Cell Function
Fulghesu AM et al.2001Journal of Endocrinological Investigation
The aim of the present study was to analyze the opioid influence on LH pulsatility in polycystic ovary syndrome (PCOS) patients and to evaluate the effectiveness of a long-term opioid antagonist (nalt...
Ovulation Induction and FertilityNeuroendocrine and Opioid DysfunctionHormone Therapy and Pharmacotherapy
OBJECTIVE: To evaluate whether some ultrasound parameters of ovarian morphology can discriminate between control women and patients with polycystic ovary syndrome (PCOS).
DESIGN: Retrospective data a...
Kalro BN et al.2001Obstetrics and Gynecology Clinics of North America
Although central and peripheral factors have been implicated in the neuromodulation of GnRH in PCOS, there are no definitive or conclusive data to establish a primary causal role for any one factor. B...
Neuroendocrine MechanismsInsulin SensitizersPulse Frequency
Polycystic ovary syndrome (PCOS) is the most common endocrinopathy in women of reproductive age. New treatment approaches resulting from a refined understanding of the pathophysiology are evolving. Th...
OBJECTIVE: To use aromatase inhibition for induction of ovulation in women in whom clomiphene citrate (CC) treatment was unsuccessful.
DESIGN: Prospective trial in infertility patients treated with C...
OBJECTIVE: To determine whether metformin treatment increases the ovulation and pregnancy rates in response to clomiphene citrate (CC) in women who are resistant to CC alone.
DESIGN: Randomized, doub...
MetforminClomiphene CitrateCombined Medical Therapy
Over the past 20 years, it has been clearly documented that the polycystic ovary syndrome (PCOS) has major metabolic sequelae related to insulin resistance and that insulin resistance plays an importa...
OBJECTIVE: To determine whether metformin would safely reduce the rate of first-trimester spontaneous abortion without teratogenicity in 19 women with the polycystic ovary syndrome (PCOS).
DESIGN: Pr...
MetforminMiscarriage PreventionRecurrent Pregnancy Loss
Kahsar-Miller MD et al.2001Fertility and Sterility
OBJECTIVE: To determine the rate of clinically evident polycystic ovary syndrome (PCOS) among first-degree female relatives within families with a proband affected by PCOS.
DESIGN: Clinical and bioch...
Kashyap S et al.2001The Journal of Reproductive Medicine
OBJECTIVE: To compare the incidence of pregnancy-induced hypertension in patients with and without polycystic ovary disease (PCOD).
STUDY DESIGN: We conducted a retrospective, case-control analysis o...
Ovarian hormonal function is under hypothalamo-hypophysis control during the genital life of women. Local hormonal production induces follicular stimulation and maturation. Two main types of functiona...
Recent diagnostic and pharmacologic developments have focused renewed attention on polycystic ovary syndrome. Clinical features of the syndrome include anovulation, hyperandrogenism and menstrual dysf...
Farah L et al.1999The Journal of Reproductive Medicine
OBJECTIVE: To determine the prevalence of the polycystic ovary syndrome (PCOS) among women seeking electrology, clients presenting to nine electrology centers completed a questionnaire.
STUDY DESIGN:...
Prevalence StudiesScreening and DetectionCommunity Screening
OBJECTIVE: To compare the effectiveness of finasteride and flutamide in the treatment of idiopathic hirsutism.
DESIGN: Randomized study.
SETTING: Department of Gynecological Endocrinology, Universit...
Antiandrogen TherapyFinasteride vs FlutamideIdiopathic Hirsutism
Heim SC et al.1999Therapeutische Umschau. Revue Therapeutique
The Polycystic Ovary Disease (PCOD) is one of the most common endocrine disorders in women with a prevalence of 5%. Affected women often consult a gynecologist because of menstrual irregularities, fer...
Cardiovascular RiskInterdisciplinary ApproachLong-term Health Outcomes
Solomon CG1999Endocrinology and Metabolism Clinics of North America
Polycystic ovary syndrome is a common problem affecting approximately 5% of women of reproductive age when defined by clinical features of anovulation and hyperandrogenism. Metabolic derangements asso...
Prevalence and Disease AssociationsMetabolic and Cardiovascular RiskLifestyle and Pharmacological Approaches
Nestler JE et al.1999The New England Journal of Medicine
BACKGROUND: Women with the polycystic ovary syndrome have insulin resistance and hyperinsulinemia, possibly because of a deficiency of a D-chiro-inositol-containing phosphoglycan that mediates the act...
Koivunen R et al.1999Acta Obstetricia Et Gynecologica Scandinavica
BACKGROUND: To study the prevalence of polycystic ovaries (PCO) in women of reproductive age.
METHODS: A total of 189 healthy volunteers aged 20-45 years were examined. The subjects were divided into...
OBJECTIVE: To determine the prevalence of polycystic ovary syndrome (PCOS) among hyperandrogenic women who report normal menses.
DESIGN: Prospective observational study.
SETTING: Academic practice i...
OBJECTIVE: To investigate the involvement of opioid tone, obesity, and hyperinsulinemia in GH secretion in women with polycystic ovary syndrome (PCOS).
DESIGN: Controlled clinical study.
SETTING: Ca...
Kaleli S et al.1998The Journal of Reproductive Medicine
OBJECTIVE: To investigate the relationship between the ovarian stromal area and clinical hormonal characteristics in women with polycystic ovary syndrome (PCOS).
STUDY DESIGN: Twenty-eight women with...
Ultrasound MorphologyOvarian Stromal ChangesTransvaginal Ultrasonography in PCOS
Harlow BL et al.1998The American Journal of Medicine
A case-control study was conducted to determine whether menstrual and gynecologic abnormalities precede the onset of chronic fatigue syndrome (CFS) in women with this disorder to a greater extent than...
Anovulation and Systemic DiseaseChronic Fatigue SyndromeImmunomodulatory Effects
Legro RS et al.1998The Journal of Clinical Endocrinology and Metabolism
Women with polycystic ovary syndrome (PCOS) are profoundly insulin resistant, and the resultant hyperinsulinemia exacerbates the reproductive abnormalities of the syndrome. Agents that ameliorate insu...
Insulin Resistance ScreeningHyperinsulinemiaGlucose-Insulin Ratio
OBJECTIVE: To examine the occurrence of polycystic ovaries (PCO) in women with gestational diabetes mellitus (GDM).
METHODS: This was a retrospective comparative study of ultrasonographic findings of...
Morin-Papunen LC et al.1998Fertility and Sterility
OBJECTIVE: To determine the clinical, hormonal, and biochemical effects of 4-6 months of metformin therapy in obese patients with polycystic ovary syndrome (PCOS).
DESIGN: Prospective study.
SETTING...
Fulghesu AM et al.1998Metabolism: Clinical and Experimental
Hyperinsulinemia secondary to a poorly characterized disorder of insulin action is a feature of polycystic ovarian disease (PCOD). On the other hand, being generally admitted that opioids may play a r...
Opioid Tone and Insulin ResistanceNaltrexone Opioid BlockadePCOS Hyperinsulinemia
OBJECTIVE: To compare the efficacy of finasteride and spironolactone in the treatment of idiopathic hirsutism.
DESIGN: Prospective, randomized, single-blind study.
SETTING: A tertiary hirsutism clin...
It is now clear that PCOS is often associated with profound insulin resistance as well as with defects in insulin secretion. These abnormalities, together with obesity, explain the substantially incre...
Insulin Resistance MechanismsOvarian SteroidogenesisDiabetes and Cardiovascular Risk
OBJECTIVE: To assess the effect of insulin-lowering treatment on menstrual cyclicity in polycystic ovary syndrome (PCOS).
METHODS: Forty oligoamenorrheic women with PCOS were recruited in a prospecti...
Urman B et al.1997The Journal of Reproductive Medicine
OBJECTIVE: To evaluate the complications and outcome of pregnancy in women with polycystic ovary disease (PCOD).
STUDY DESIGN: The course and outcome of 47 singleton pregnancies in women with well-do...
Gestational DiabetesPregnancy-Induced HypertensionMetabolic Disorders in PCOS
Taylor AE et al.1997The Journal of Clinical Endocrinology and Metabolism
Polycystic ovary syndrome (PCOS) is a heterogeneous disorder of reproductive age women characterized in its broadest definition by the presence of oligoamenorrhea and hyperandrogenism and the absence ...
Gonadotropin Secretion AbnormalitiesLH PulsatilityBody Composition and Hormonal Effects
van Santbrink EJ et al.1997Fertility and Sterility
OBJECTIVE: To investigate the predictive value of polycystic ovaries for endocrine signs of polycystic ovary syndrome (PCOS).
DESIGN: Controlled descriptive study.
SETTING: Academic tertiary care fe...
Ultrasound vs Endocrine CriteriaTransvaginal UltrasoundNormogonadotropic Oligomenorrhea
Breast cancer incidence rates are high in societies with a Western lifestyle characterized by low levels of physical activity, and by an energy-dense diet rich in total and saturated fat and refined c...
HyperinsulinemiaBreast Cancer RiskHyperandrogenism and Disease
OBJECTIVE: To investigate the effects of low dose flutamide (250 mg/d) on hirsutism score and hormone levels in women with hirsutism.
DESIGN: Nonrandomized, prospective clinical trial.
PATIENTS: For...
OBJECTIVE: To assess the efficacy of IVP-ET in infertile women with the polycystic ovary syndrome (PCOS) and to provide a comprehensive review of contemporary therapeutic options and their complicatio...
In Vitro Fertilization OutcomesIVF in PCOSOvarian Hyperstimulation Syndrome
Lanzone A et al.1995The Journal of Clinical Endocrinology and Metabolism
Recent data indicate that an altered opioid tone could be involved in the LH hypersecretion and metabolic alterations seen in polycystic ovary syndrome (PCOS). The aim of the present study was to inve...
Opioid Tone DerangementHyperinsulinemia and LH SecretionOpioid System
Fulghesu AM et al.1995Human Reproduction (Oxford, England)
A total of 17 women affected by polycystic ovarian disease (PCOD) were studied to evaluate the involvement of endogenous opioids in the pathophysiology of the hyperinsulinism in PCOD by administering ...
Hyperinsulinism and Opioid SystemNaltrexone Opioid Antagonist TherapyHepatic Extraction
OBJECTIVE: To investigate the long-term effects of treatment with low doses of flutamide on clinical and hormonal parameters, as well as on the androgen receptor status, in hirsute women.
DESIGN: Eig...
Consideration of existing data regarding clinical and biochemical risk factors for the development of breast cancer leads to the hypothesis that enhanced insulin-like growth factor I (IGF-I) activity ...
Insulin Resistance and CancerBreast Cancer Risk FactorsCancer Pathogenesis
OBJECTIVE: To evaluate the effects of long-term administration of finasteride on hirsutism score, basal gonadotropin, and androgen secretion in women with idiopathic hirsutism.
DESIGN: Randomized sin...
Lanzone A et al.1995The Journal of Reproductive Medicine
We investigated the impact of pregestationally elevated insulin plasma levels on glycemic control in pregnant women with polycystic ovary disease (PCOD). Twelve patients with PCOD who became pregnant ...
Women with hyperandrogenic disorders represent a unique group among those with infertility due to anovulation. Although antiestrogens are effective in restoring ovulation in most women, it remains unc...
Ovulation Induction StrategiesEndometrial Cancer RiskAntiestrogen Resistant PCOS
Two long and broad streams of medical literature, from the 1950's to date, have established the existence of two unrelated abnormalities of androgen production in women with breast cancer. One is the ...
Breast Cancer RiskBreast Cancer AssociationHyperandrogenism and Anovulation
OBJECTIVE: To evaluate the involvement of endogenous opiates in the pathophysiology of the hyperinsulinism in patients affected by polycystic ovary disease by administering naloxone and naltrexone. We...
OBJECTIVE: To evaluate the incidence and extent of periovarian adhesion formation subsequent to laparoscopic electrocoagulation of the ovarian surface in infertility patients with polycystic ovarian d...
OBJECTIVE: To assess the endocrinologic and clinical outcome after laparoscopic ovarian electrocautery because of polycystic reaction to ovarian stimulation in anovulatory infertility patients.
DESIG...
Campo S et al.1993Human Reproduction (Oxford, England)
Ovarian laparoscopic resection was applied to 23 sterile patients affected with polycystic ovarian disease (PCOD) resistant to different pharmacological treatments, in order to induce ovulation. After...
Dahlgren E et al.1992Acta Obstetricia Et Gynecologica Scandinavica
In order to estimate whether women with polycystic ovary syndrome (PCOS) have an increased risk of developing myocardial infarction, a risk factor model was applied on 33 women with PCOS and 132 age m...
Cardiovascular RiskObesity and LipidsCardiovascular Disease in Women
Toniolo P et al.1992American Journal of Epidemiology
Gammon and Thompson (1) recently reported in the Journal the results of an analysis of data from the Center for Disease Control's Cancer and Steroid Hormones Study to examine the association between a...
Breast Cancer RiskBreast Cancer Hormonal Risk FactorsCancer Association
OBJECTIVE: To determine if the hormonal imbalance in women with polycystic ovary syndrome (PCOS) continues into and after menopause and to analyze factors constituting an increased risk for developing...
Metabolic ComplicationsOvarian Wedge ResectionPCOS and Menopause
Ostrzenski A1992International journal of fertility
Clomiphene citrate therapy has been found to improve the infertility rate in women suffering from polycystic ovarian disease (PCOD). However, there still exists a group of women with PCOD who fail to ...
The incidence and fertility effects of postoperative adhesion formation after laparoscopic ovarian electrocautery or laser photocoagulation of polycystic ovaries has not been adequately analyzed. Shor...
Gammon MD et al.1991American Journal of Epidemiology
Data from a case-control study that was conducted between 1980 and 1982 were analyzed to investigate the possible association between polycystic ovaries and the risk of breast cancer. The multicenter,...
Insler V et al.1991Human Reproduction (Oxford, England)
The incidence of polycystic ovarian disease (PCOD) varies from 0.6 to 92%, depending on the parameters analysed, PCOD has been reported to appear in association with Cushing's Syndrome, adrenal hyperp...
Multifactorial MechanismsPCOSLong-term Health Risks
Lanzone A et al.1991Human Reproduction (Oxford, England)
In order to test the hypothesis that endogenous opiates are at least partially responsible for hyperinsulinaemia in patients with polycystic ovarian disease (PCOD), the effect of naloxone (an opiate r...
HyperinsulinemiaOpioid System InvolvementOpioid Receptors
OBJECTIVE: To examine the clinical efficacy of low dose spironolactone in hirsute women.
DESIGN: Retrospective.
SETTING: Outpatient endocrinology clinic.
PATIENTS: One hundred nine consecutive wome...
The rate of adhesion formation after ovarian electrocauterization has been described in two selective and unselective groups of patients with PCOS. The rate of this complication in the selective group...
Animal experimental and human clinical investigations show that estrogens lower and progestins raise many seizure thresholds. In women, seizure frequency varies with the serum estradiol to progesteron...
beta-Endorphin has a role in the regulation of the normal menstrual cycle and possibly in the onset of puberty. We have reviewed the evidence pointing to an alteration in this neuropeptide that may co...
Lanzone A et al.1990Human Reproduction (Oxford, England)
Nine obese and ten non-obese women with polycystic ovarian disease (PCO), and seven obese and eight non-obese normal women, had an oral glucose tolerance test (OGTT) before and after treatment with Gn...
Insulin ResistanceGnRH Agonist TherapyHyperandrogenism and Metabolism
Szilágyi A et al.1990Archives of Gynecology and Obstetrics
Serum gonadotropin, prolactin, estradiol, sex hormone binding globulin (SHBG) and androgen levels were measured before, 5 days and 6 weeks following ovarian wedge resection in 9 patients with polycyst...
Few subjects have provoked such controversy in the field of reproductive endocrinology as polycystic ovary syndrome (PCOS). It is characterized by heterogeneous clinical and endocrine features and thi...
Evolving Diagnostic CriteriaEndocrine Features and HeterogeneityPolycystic Ovary Syndrome
Kennedy JL et al.1987Obstetrics and Gynecology Clinics of North America
Methods to induce ovulation in anovulatory women have blossomed over the last three decades. The introduction of clomiphene citrate in 1960 allowed us for the first time to provoke follicle developmen...
Givens JR et al.1987The Journal of Clinical Endocrinology and Metabolism
We previously reported that circulating beta-endorphin levels are increased in obese hirsute women and that plasma immunoreactive insulin (IRI) levels are increased in proportion to the degree of hype...
Opiate Receptor BlockadeHyperinsulinemia and Insulin ResistanceMetabolic Effects
Adams J et al.1986British Medical Journal (Clinical Research Ed.)
Polycystic ovaries were defined with ultrasound imaging in a series of 173 women who presented to a gynaecological endocrine clinic with anovulation or hirsutism. Polycystic ovaries were found in 26% ...
Ovulation was induced with one-quarter tablet (12.5 mg) of clomiphene citrate given for five days to three oligoovulatory patients who had consistently formed functional ovarian cysts when given 50 an...
The effect of spironolactone on adrenal androgen and cortisol production was studied in six hirsute women. Hirsute women were evaluated before and 1 month after receiving 200 mg of spironolactone dail...
Clinical and laboratory evaluations of nine hirsute women were performed for determination the efficacy of combination drug therapy. Each patient had previously failed to respond to single drug therap...
Hirsutism TreatmentAntiandrogen TherapyCombination Drug Therapy
The authors examined the effect of three months' treatment with spironolactone in 34 women with polycystic ovary syndrome. In all patients a significant decrease in hirsutism was noted as well as rest...
Hjortrup A et al.1983Acta Obstetricia Et Gynecologica Scandinavica
Twenty-nine consecutive patients with polycystic ovary (PCO) syndrome (defined as hirsutism plus oligomenorrhea or secondary amenorrhea, and excluding Cushing's syndrome, an androgen-secreting adrenal...
Twelve oligomenorrhic women with polycystic ovary syndrome (PCO) in whom clomiphene (250 mg daily for 5 days) and 10,000 IU human chorionic gonadotropin had failed to induce ovulation were treated wit...
Ovulation InductionClomiphene ProtocolsDHEA-S and Testosterone
Fertility following bilateral ovarian wedge resection (BOWR) was evaluated in a retrospective cohort study of 90 consecutive cases of the polycystic ovary syndrome. Post-BOWR follow-up was available f...
Ovarian Wedge ResectionWedge Resection Fertility OutcomesPCOS Ovarian Surgery
Marked improvement in the severe hypertension (250/150 mmHg) and hirsutism of a patient suffering from polycystic ovary syndrome was quickly achieved by the use of spironolactone 200 mg per day. Subst...
Rajaniemi HJ et al.1980The Journal of Clinical Endocrinology and Metabolism
Wedge resection was performed in 12 patients with polycystic ovarian disease, and cell samples from the cystic follicles were assayed for LH(hCG) receptor using [125I]iodo-hCG as a ligand hormone. Sim...
Vigersky RA et al.1980The New England Journal of Medicine
The treatment of hirsute women is controversial and often presents a therapeutic dilemma. Mechanical methods (such as shaving or using depilatories) are safe but often unacceptable to the patient, whe...
Tanaka T et al.1978International Journal of Fertility
Wedge resection (WR) was performed in 12 women with polycystic ovarian disease (PCOD), and Incision was done in 4 PCOD patients without any resection of ovarian tissue. Serum LH, FSH, estradiol-17beta...
Ovarian Wedge ResectionGonadotropin LevelsOvarian Surgery
A study of serum estradiol, progesterone, 17alpha-hydroxy-progesterone, testosterone, dihydrotestosterone, dehydroepiandrosterone (DHA), delta4-androstenedione (delta4-A), FSH, and LH was carried out ...
Toaff R et al.1976American Journal of Obstetrics and Gynecology
Seven cases of polycystic ovarian disease were investigated by laparoscopy and endocrinologic tests after failure of ovarian resection to restore fertility. One case of bilateral and two cases of unil...
More than twenty-five years ago Edward Reynolds gave an excellent description of the polycystic ovary, and expressed the opinion that ovarian surgery was the most important single feature in the treat...
Wedge ResectionSurgical InterventionOvarian Surgery
Stein IF et al.1935American journal of obstetrics and gynecology
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