Current perspectives on Polycystic Ovary Syndrome: diagnostic and therapeutic approaches
PDF (Português (Brasil))

Keywords

diagnosis
treatment
management
polycystic ovary syndrome

How to Cite

Vytor Cardoso Nobre, P., de Araújo Alves Júnior , J., Baracho Macena, L., Saleme Moreira Vasconcelos da Rocha, M., Erika Neumann Costa , K., Raquel Batista Melo , T., Silvina Rodrigues Silva, L., Toledo Calheiros Nobre Sampaio, M., Victor Santos Meneses , J., Inês Costa Cordeiro , K., César Guimarães Bancilon, C., & Silveira da Silva, L. (2024). Current perspectives on Polycystic Ovary Syndrome: diagnostic and therapeutic approaches. Brazilian Journal of Implantology and Health Sciences, 6(3), 2500–2510. https://doi.org/10.36557/2674-8169.2024v6n3p2500-2510

Abstract

Introduction: Polycystic ovarian syndrome (PCOS) is a complex endocrine condition characterized by ovarian dysfunction and androgen hypersecretion. Objective: To evaluate the pathophysiological bases associated with polycystic ovary syndrome, highlighting its multifactorial complexity, and to examine therapeutic strategies. Methodology: This is a bibliographic review that included original articles and systematic reviews in English and Portuguese, which addressed pathophysiological aspects and PCOS management, published between 2016 and 2024, selected from the PubMed, Scopus and SciELO databases. After careful selection, 18 articles were chosen to compose this bibliographic review. Results: PCOS is influenced by epigenetic mechanisms, exposure to toxic compounds, hyperinsulinemia and hyperandrogenism, which directly affect ovulation and metabolism. Obesity also contributes to PCOS. Treatment involves lifestyle changes and medications to control symptoms and restore ovulation. Considerations: PCOS is a complex condition, involving genetic, epigenetic, environmental and metabolic factors. Treatment aims to address underlying symptoms and mechanisms, with lifestyle changes and individualized pharmacological therapy. A multidisciplinary approach is essential to improve patients' quality of life.

https://doi.org/10.36557/2674-8169.2024v6n3p2500-2510
PDF (Português (Brasil))

References

Abbott, D. H., Dumesic, D. A., & Levine, J. E. (2019). Hyperandrogenic origins of polycystic ovary syndrome – implications for pathophysiology and therapy. Expert Review of Endocrinology & Metabolism, 14, 131–143. https://doi.org/10.1080/17446651.2019.1576522

Bednarska, S., & Siejka, A. (2017). The pathogenesis and treatment of polycystic ovary syndrome: What's new? Advances in Clinical and Experimental Medicine, 26, 359–367. https://doi.org/10.17219/acem/59380

Brennan, L., Teede, H., Skouteris, H., Linardon, J., Hill, B., & Moran, L. (2017). Lifestyle and behavioral management of polycystic ovary syndrome. Journal of Women's Health, 26, 836–848. https://doi.org/10.1089/jwh.2016.5792

Condorelli, R. A., Calogero, A. E., Di Mauro, M., & La Vignera, S. (2017). PCOS and diabetes mellitus: From insulin resistance to altered beta pancreatic function, a link in evolution. Gynecological Endocrinology, 33, 665–667. https://doi.org/10.1080/09513590.2017.1342240

Damone, A. L., Joham, A. E., Loxton, D., Earnest, A., Teede, H. J., & Moran, L. J. (2019). Depression, anxiety, and perceived stress in women with and without PCOS: A community-based study. Psychological Medicine, 49, 1510–1520. https://doi.org/10.1017/S0033291718002076

Deans, R. (2019). Polycystic ovary syndrome in adolescence. Medical Sciences, 7, 101. https://doi.org/10.3390/medsci7100101

Di Lorenzo, M., Cacciapuoti, N., Lonardo, M. S., Nasti, G., Gautiero, C., Belfiore, A., Guida, B., & Chiurazzi, M. (2023). Pathophysiology and Nutritional Approaches in Polycystic Ovary Syndrome (PCOS): A Comprehensive Review. Current Nutrition Reports, 12(3), 527–544. https://doi.org/10.1007/s13668-023-00479-8

Fenichel, P., Rougier, C., Hieronimus, S., & Chevalier, N. (2017). What origin of polycystic ovary syndrome: Genetic, environmental or both? Annals of Endocrinology, 78, 176–185. https://doi.org/10.1016/j.ando.2017.04.024

Ganie, M. A., Vasudevan, V., Wani, I. A., Baba, M. S., Arif, T., & Rashid, A. (2019). Epidemiology, pathogenesis, genetics, and treatment of polycystic ovary syndrome in India. Indian Journal of Medical Research, 150, 333–344. https://doi.org/10.4103/ijmr.IJMR_1937_17

Hakimi, O., & Cameron, L. C. (2016). Effect of exercise on ovulation: A systematic review. Sports Medicine, 47, 1555–1567. https://doi.org/10.1007/s40279-016-0669-8

He, F.-F., & Li, Y.-M. (2020). Role of intestinal microbiota in the development of insulin resistance and the underlying mechanism of polycystic ovary syndrome: A review. Journal of Ovarian Research, 13, 1–13. https://doi.org/10.1186/s13048-020-00670-3

Ibanez, L., Oberfield, S. E., Witchel, S. F., Auchus, R. J., Chang, R. J., Codner, E., Dabadghao, P., Darendeliler, F., Elbarbary, N., & Gambineri, A., et al. (2017). An update from the international consortium: Pathophysiology, diagnosis, and treatment of polycystic ovary syndrome in adolescence. Hormone Research in Pediatrics, 88, 371–395. https://doi.org/10.1159/000479371

Li, Y., Chen, C., Ma, Y., Xiao, J., Luo, G., Li, Y., & Wu, D. (2019). Multisystemic reproductive metabolic disorder: Significance for polycystic ovary syndrome (PCOS) pathogenesis and therapy. Life Sciences, 228, 167–175. https://doi.org/10.1016/j.lfs.2019.04.046

Rutkowska, A., & Diamanti-Kandarakis, E. (2016). Polycystic ovary syndrome and environmental toxins. Fertility and Sterility, 106, 948–958. https://doi.org/10.1016/j.fertnstert.2016.08.031

Sadeghi, H. M., Adeli, I., Calina, D., Docea, A. O., Mousavi, T., Daniali, M., Nikfar, S., Tsatsakis, A., & Abdollahi, M. (2022). Polycystic Ovary Syndrome: A Comprehensive Review of Pathogenesis, Management, and Drug Repurposing. International Journal of Molecular Sciences, 23(2), 583. https://doi.org/10.3390/ijms23020583

Soave, I., Occhiali, T., Assorgi, C., Marci, R., & Caserta, D. (2020). Exposure to environmental toxin in women with polycystic ovary syndrome and possible ovarian neoplastic repercussion. Current Medical Research and Opinion, 36, 693–703.

Witchel, S. F., Oberfield, S. E., & Peña, A. S. (2019). Polycystic Ovary Syndrome: Pathophysiology, Presentation, and Treatment With Emphasis on Adolescent Girls. Journal of Endocrine Society, 3(8), 1545–1573. https://doi.org/10.1210/js.2019-00078

Zeng, X., Xie, Y.-J., Liu, Y.-T., Long, S.-L., & Mo, Z.-C. (2020). Polycystic ovary syndrome: Correlation between hyperandrogenism, insulin resistance, and obesity. Clinical Chimica Acta, 502, 214–221. https://doi.org/10.1016/j.cca.2019.11.003

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2024 Paulo Vytor Cardoso Nobre, Josivaldo de Araújo Alves Júnior , Leopoldo Baracho Macena, Manuela Saleme Moreira Vasconcelos da Rocha, Katherine Erika Neumann Costa , Thereza Raquel Batista Melo , Lara Silvina Rodrigues Silva, Mariana Toledo Calheiros Nobre Sampaio, João Victor Santos Meneses , Karine Inês Costa Cordeiro , Carlos César Guimarães Bancilon, Liliane Silveira da Silva