Polycystic ovary syndrome throughout a woman’s life
Open accessAbstract
Polycystic ovary syndrome (PCOS) is the most common endocrine disorder among reproductive-aged women and the main cause of infertility due to anovulation. However, this syndrome spans the lives of women affecting them from in-utero life until death, leading to several health risks that can impair quality of life and increase morbidity and mortality rates. Fetal programming may represent the beginning of the condition characterized by hyperandrogenism and insulin resistance which leads to a series of medical consequences in adolescence, adulthood, and old age. Menstrual and fertility problems evolve into metabolic complications as age advances. An early and precise diagnosis is important for an adequate management of PCOS, especially at the extreme ends of the reproductive lifespan. However, many different phenotypes are included under the same condition, being important to look at these different phenotypes separately, as they may require different treatments and have different consequences. In this way, PCOS exhibits a great metabolic complexity and its diagnosis needs to be revised once again and adapted to recent data obtained by new technologies. According to the current medical literature, lifestyle therapy constitutes the first step in the management, especially when excess body weight is associated. Pharmacotherapy is frequently used to treat the most predominant manifestations in each age group, such as irregular menses and hirsutism in adolescence, fertility problems in adulthood, and metabolic problems and risk of cancer in old age. Close surveillance is mandatory in each stage of life to avoid health risks which may also affect the offspring, since fetal and post-natal complications seem to be increased in PCOS women.
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Although PCOS can be diagnosed in adolescence, many young individuals may not know they have PCOS or do not receive a diagnosis until they experience infertility.
“Although it can be diagnosed in adolescence, many young individuals may not know they have PCOS or do not receive a diagnosis until they experience infertility [3, 9, 24–29].”
From Challenges in diagnosis and health care in polycystic ovary syndrome in Canada: a patient view to improve health care (2023) · cites this paper as [25]
The Childhood and adolescence section says PCOS diagnosis is more challenging in adolescence and gives criteria for diagnosing it. The Adulthood: fertility passage says infertility is a main reason women with PCOS come to the clinic. Neither passage establishes that many young people are unaware they have PCOS or remain undiagnosed until they experience infertility. (LLM, conf=0.84)
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Sorted by citations
Recent advances in the understanding and management of polycystic ovary syndrome
Rocha, A. L., Oliveira, F. R., Azevedo, R. C., Silva, V. A., Peres, T. M., Candido, A. L., Gomes, K. B., & Reis, F. M. (2019) · F1000Research · doi:10.12688/f1000research.15318.1 · Cited by 142 · see citing works
“Intrauterine growth retardation or small for gestational age (or both) and high levels of androgens during the intrauterine period could lead to an increased production of glucocorticoids which may induce epigenetic modifications and increase the risk of PCOS 35 .”
BackgroundNatural Molecules in the Management of Polycystic Ovary Syndrome (PCOS): An Analytical Review
Iervolino, M., Lepore, E., Forte, G., Laganà, A. S., Buzzaccarini, G., & Unfer, V. (2021) · Nutrients · doi:10.3390/nu13051677 · Cited by 98 · see citing works
“Therefore, administration of omega-3 fatty acids should be specific only for PCOS women who already exhibit inflammatory and cardiovascular-related symptoms, which usually occur between 40 and 45 years of age [94,95].”
BackgroundZhang, J., Xu, J., Qu, Q.-Q., & Zhong, G.-Q. (2020) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2020.552421 · Cited by 97 · see citing works
“Moreover, PCOS patient’s metabolic disturbances also cause hypertension that mainly changes vascular function as caused by hyperinsulinemia (43).”
BackgroundPolycystic ovarian syndrome: Environmental/occupational, lifestyle factors; an overview
Kshetrimayum, C., Sharma, A., Mishra, V. V., & Kumar, S. (2019) · Journal of the Turkish-German Gynecological Association · doi:10.4274/jtgga.galenos.2019.2018.0142 · Cited by 93 · see citing works
Ovarian aging in humans: potential strategies for extending reproductive lifespan
Cavalcante, M. B., Sampaio, O. G. M., Câmara, F. E. A., Schneider, A., Ávila, B. M., Prosczek, J. B., Masternak, M. M., & Campos, A. R. (2023) · GeroScience · doi:10.1007/s11357-023-00768-8 · Cited by 96 · see citing works
Vitamin D and aspects of female fertility
Voulgaris, N., Papanastasiou, L., Piaditis, G. P., Angelousi, A. G., Kaltsas, G., Mastorakos, G. P., & Kassi, E. N. (2017) · HORMONES · doi:10.14310/horm.2002.1715 · Cited by 86 · see citing works
An update of polycystic ovary syndrome: causes and therapeutics options
Rababa’h, A. M., Matani, B. R., & Yehya, A. (2022) · Heliyon · doi:10.1016/j.heliyon.2022.e11010 · Cited by 73 · see citing works
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“Not only is the diagnosis of PCOS still debatable, but also its pathogenesis; hence, together with the genetic and metabolic predispositions [12, 13], environmental factors, such as endocrine disrupting chemicals (EDCs), may contribute to its development [14, 15].”
BackgroundDevelopmental programming of the female reproductive system—a review
Yao, S., López‐Tello, J., & Sferruzzi-Perri, A. N. (2020) · Biology of Reproduction · doi:10.1093/biolre/ioaa232 · Cited by 72 · see citing works
Cardio-Metabolic Disease and Polycystic Ovarian Syndrome (PCOS): A Narrative Review
Sangaraju, S. L., Yepez, D., Grandes, X. A., Manjunatha, R. T., & Habib, S. (2022) · Cureus · doi:10.7759/cureus.25076 · Cited by 71 · see citing works
“PCOS is a disorder that can affect females right from their fetal life up until their death, with several complications in between, that affect their mortality and morbidity as well as decrease their quality of life [12].”
BackgroundSydora, B. C., Wilke, M. S., McPherson, M., Chambers, S., Ghosh, M., & Vine, D. F. (2023) · BMC Women's Health · doi:10.1186/s12905-023-02732-2 · Cited by 60 · see citing works
“” educate/train clinicians 35 [25.5] ◦ “More doctors need to know about PCOS!”
BackgroundInfluentialAbbara, A., Eng, P. C., Phylactou, M., Clarke, S. A., Hunjan, T., Roberts, R. E., Vimalesvaran, S., Christopoulos, G., Islam, R., Purugganan, K., et al. (2019) · Frontiers in Endocrinology · doi:10.3389/fendo.2019.00656 · Cited by 61 · see citing works
Comparative Analysis of Lower Genital Tract Microbiome Between PCOS and Healthy Women
Tu, Y., Zheng, G., Ding, G., Wu, Y., Xi, J., Ge, Y., Gu, H., Wang, Y., Sheng, J., Liu, X., et al. (2020) · Frontiers in Physiology · doi:10.3389/fphys.2020.01108 · Cited by 57 · see citing works
“PCOS is becoming the most common cause of sterility in reproductive-aged women (Wang et al., 2015; Bellver et al., 2018; Patel, 2018).”
BackgroundÇoban, Ö. G., Tulacı, Ö. D., Adanır, A. S., & Önder, A. (2019) · Journal of Pediatric and Adolescent Gynecology · doi:10.1016/j.jpag.2019.07.008 · Cited by 54 · see citing works
The evolutionary biology of endometriosis
Dinsdale, N., Nepomnaschy, P., & Crespi, B. (2021) · Evolution, Medicine, and Public Health · doi:10.1093/emph/eoab008 · Cited by 53 · see citing works
Pregnancy outcomes in women with polycystic ovarian syndrome
D’Alterio, M. N., Sigilli, M., Succu, A. G., GHISU, V., Laganà, A. S., Sorrentino, F., Nappi, L., Tinelli, R., & Angioni, S. L. (2021) · Minerva Obstetrics and Gynecology · doi:10.23736/s2724-606x.21.04758-4 · Cited by 49 · see citing works
Prevalence and Etiology of Eating Disorders in Polycystic Ovary Syndrome: A Scoping Review
Lalonde-Bester, S., Malik, M., Masoumi, R., Ng, K., Sidhu, S., Ghosh, M., & Vine, D. F. (2024) · Advances in Nutrition · doi:10.1016/j.advnut.2024.100193 · Cited by 50 · see citing works
“Androgens are considered orexigenic, stimulating appetite, disrupting impulse control, and have been associated with binge eating behaviors in those with PCOS [66,67, 97,125,131,132].”
BackgroundMicronuclei and disease – Report of HUMN project workshop at Rennes 2019 EEMGS conference
Fenech, M. F., Holland, N., Kirsch‐Volders, M., Knudsen, L. E., Wagner, K., Stopper, H., Knasmüller, S., Bolognesi, C., El‐Zein, R. A., & Bonassi, S. (2020) · Mutation Research/Genetic Toxicology and Environmental Mutagenesis · doi:10.1016/j.mrgentox.2020.503133 · Cited by 45 · see citing works
Polycystic Ovary Syndrome in Adolescence
Deans, R. (2019) · Medical Sciences · doi:10.3390/medsci7100101 · Cited by 44 · see citing works
Shanmugavadivel, K., S, M. D. M., Mahesh, T. R., Al‐Shehari, T., Alsadhan, N. A., & Yimer, T. E. (2024) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-024-02688-9 · Cited by 44 · see citing works
“Not everyone can afford to get tested or scanned [13].”
BackgroundLow aneuploidy rate in early pregnancy loss abortuses from patients with polycystic ovary syndrome
Wang, Q., Luo, L., Lei, Q., Lin, M., Huang, X., Chen, M.-H., Zeng, Y., & Zhou, C. (2016) · Reproductive BioMedicine Online · doi:10.1016/j.rbmo.2016.04.006 · Cited by 42 · see citing works
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Corrie, L., Gulati, M., Vishwas, S., Kapoor, B., Singh, S. K., Awasthi, A., & Khursheed, R. (2021) · Medical Hypotheses · doi:10.1016/j.mehy.2021.110644 · Cited by 40 · see citing works
Rani, R., Hajam, Y. A., Kumar, R., Bhat, R. A., Rai, S., & Rather, M. A. (2021) · Phytomedicine Plus · doi:10.1016/j.phyplu.2021.100161 · Cited by 43 · see citing works
Krug, I., Giles, S., & Paganini, C. (2019) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s168944 · Cited by 50 · see citing works
“Diagnostic overshadowing of PCOS symptoms may also impede a reliable diagnosis, and concealment and shame of disordered eating symptoms, or the health care professionals’ dearth of knowledge and skill sets in identifying and treating ED symptoms may also contribute to variable prevalence estimates.(17,59)”
BackgroundVale-Fernandes, E., Pignatelli, D., & Monteiro, M. P. (2025) · European Journal of Endocrinology · doi:10.1093/ejendo/lvaf062 · Cited by 38 · see citing works
Hong, G., Wu, H., Ma, S., & Su, Z. (2020) · Chinese Medicine · doi:10.1186/s13020-020-00405-y · Cited by 38 · see citing works
Zhao, S., Wang, J., Xie, Q., Luo, L., Zhu, Z., Liu, Y., Luo, J., & Zhao, Z. (2019) · Reproductive BioMedicine Online · doi:10.1016/j.rbmo.2018.11.030 · Cited by 36 · see citing works
Dietary Patterns and Polycystic Ovary Syndrome: a Systematic Review
XENOU, M., & Gourounti, K. (2021) · MAEDICA – a Journal of Clinical Medicine · doi:10.26574/maedica.2020.16.3.516 · Cited by 36 · see citing works
Jiang, B. (2025) · International Journal of Women s Health · doi:10.2147/ijwh.s490836 · Cited by 35 · see citing works
An update on PCOS in adolescents
Fitzgerald, S., DiVasta, A. D., & Gooding, H. C. (2018) · Current Opinion in Pediatrics · doi:10.1097/mop.0000000000000636 · Cited by 30 · see citing works
Role of Artificial Intelligence in PCOS Detection
Agrawal, A., Ambad, R., Lahoti, R., Muley, P. A., & Pande, P. S. (2022) · Journal of Datta Meghe Institute of Medical Sciences University · doi:10.4103/jdmimsu.jdmimsu_278_22 · Cited by 30 · see citing works
Moslehi, N., Zeraattalab-Motlagh, S., Rahimi Sakak, F., Shab-Bidar, S., Tehrani, F. R., & Mirmiran, P. (2023) · Nutrition Reviews · doi:10.1093/nutrit/nuac075 · Cited by 28 · see citing works
Serum chemerin level in women with PCOS and its relation with the risk of spontaneous abortion
Yang, X., Quan, X., Lan, Y., Wei, Q., Ye, J., Yin, X., Ji, Z., Xing, H., & Yang, Y. (2018) · Gynecological Endocrinology · doi:10.1080/09513590.2018.1462316 · Cited by 27 · see citing works
Zhao, C., Zhou, Y., Shen, X., Gong, M., Lu, Y., Fang, C., Chen, J., & Ju, R. (2020) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-020-05495-5 · Cited by 26 · see citing works
HOMA-IR for predicting clinical pregnancy rate during IVF
Song, H., Yu, Z., Li, P., Wang, Y., & Shi, Y. (2021) · Gynecological Endocrinology · doi:10.1080/09513590.2021.1952976 · Cited by 26 · see citing works
“PCOS is a common but complex reproductive and endocrine-metabolic disorder and a primary cause of infertility among women of childbearing age [10].”
BackgroundWang, X., Li, Y., Tan, H., Cai, S., Ma, S., Peng, Y., Guo, H., Li, X., Tang, Y., Zhang, S., et al. (2023) · Reproductive Biology and Endocrinology · doi:10.1186/s12958-023-01154-x · Cited by 26 · see citing works
“…phosphorylation of insulin receptors and IRS-1 secondary to intracellular serine kinases in PCOS, which results in decreased insulin-mediated activation of PI3-K and resistance to the metabolic actions of insulin has been postulated that the same kinase may inhibit insulin signaling in PCOS [29].”
BackgroundSelf-Concept, Depression, and Anxiety Levels of Adolescents with Polycystic Ovary Syndrome
Almış, H., Orhon, F. Ş., Bolu, S., & Almış, B. H. (2020) · Journal of Pediatric and Adolescent Gynecology · doi:10.1016/j.jpag.2020.12.011 · Cited by 24 · see citing works
Zhao, H., Zhou, D., Liu, C., & Zhang, L. (2023) · International Journal of Women s Health · doi:10.2147/ijwh.s393594 · Cited by 23 · see citing works
“The former include growth factors, cytokines, and inhibin in the follicular fluid, and the latter includes FSH deficiency, LH hypersecretion, high androgen levels in the ovaries and adrenal gland, IR, and hyperinsulinemia.(43,44) AMH is recognized as the primary hormonal regulator of ovarian follicular development by…”
BackgroundIncreased homozygosity due to endogamy results in fitness consequences in a human population
Swinford, N., Prall, S. P., Gopalan, S., Williams, C. M., Sheehama, J., Scelza, B. A., & Henn, B. M. (2023) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2309552120 · Cited by 25 · see citing works
“In addition to untreated venereal disease (45, 46), conditions such as polycystic ovarian syndrome and endometriosis can affect a woman’s ability to become pregnant (47, 48).”
Role of polyphenols in remodeling the host gut microbiota in polycystic ovary syndrome
Zhou, P., Feng, P., Liao, B., Fu, L. N., Shan, H., Cao, C., Luo, R., Peng, T., Liu, F.-T., & Li, R. (2024) · Journal of Ovarian Research · doi:10.1186/s13048-024-01354-y · Cited by 25 · see citing works
“Hyperandrogenemia is an essential endocrine feature of PCOS, and the andro-gen-excessive environment can inhibit follicle development and maturation, resulting in follicular atresia and decreased ovarian estradiol levels [26].”
BackgroundZheng, W., Huang, W., Zhang, L., Tian, Z., Qi, Y., Wang, T., Zhang, L., & Li, G. (2019) · Diabetology & Metabolic Syndrome · doi:10.1186/s13098-019-0462-6 · Cited by 25 · see citing works
Polycystic ovary syndrome and risk of pre‐eclampsia: A national register‐based cohort study
Valdimarsdottir, R., Vanky, E., Elenis, E., Lindström, L., Junus, K., Jonsson, M., Poromaa, I. S., & Wikström, A. (2023) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.17734 · Cited by 24 · see citing works
“4,5 6–9 Pre-eclampsia is a severe pregnancy complication with a global incidence of 3–5%.”
BackgroundCasals, G., Andreu, A., Barral, Y., Ventosa, S., Redondo, M., Torres, F., Ibarzábal, A., Manau, D., Carmona, F., Vidal, J., et al. (2021) · Obesity Surgery · doi:10.1007/s11695-021-05297-x · Cited by 23 · see citing works
“The impact of obesity and WL strategies on reproduction is especially relevant in women diagnosed with polycystic ovarian syndrome (PCOS) as their ovulatory disorders and perinatal complications are exacerbated in the presence of obesity [8, 9].”
BackgroundAuthier, M., Normand, C., Jego, M., Gaborit, B., Boubli, L., & Courbiere, B. (2020) · Annales d'Endocrinologie · doi:10.1016/j.ando.2020.07.1110 · Cited by 23 · see citing works
Variation among human populations in endometriosis and PCOS A test of the inverse comorbidity model
Crespi, B. J. (2021) · Evolution Medicine and Public Health · doi:10.1093/emph/eoab029 · Cited by 21 · see citing works
“PCOS is found in about 5–15% of women of reproductive age and impacts substantially upon health, fertility and well-being [11, 12].”
BackgroundPerceived Stress Scale Among Adolescents with Polycystic Ovary Syndrome
Khafagy, G. M., Sayed, I. T. E., Abbas, S. M., & Soliman, S. (2020) · International Journal of Women s Health · doi:10.2147/ijwh.s279245 · Cited by 21 · see citing works
Polycystic Ovarian Syndrome in Adolescents
Adone, A., & Fulmali, D. G. (2023) · Cureus · doi:10.7759/cureus.34183 · Cited by 20 · see citing works
“Regular check-ups and close surveillance are necessary for every stage of life, like adolescence, reproductive age, and old age, to reduce complications and risks that could affect the patient's offspring as it is genetically transferred [25].”
BackgroundKiller-cell immunoglobulin-like receptors associated with polycystic ovary syndrome
Elpídio, L. N. S., de Alencar, J. B., Tsuneto, P. Y., Alves, H. V., Toretta, M. T., Taura, S. K. I., Visentainer, J. E. L., & Sell, A. M. (2018) · Journal of Reproductive Immunology · doi:10.1016/j.jri.2018.08.003 · Cited by 20 · see citing works
Bansal, B., Kishore, A. T., Kathiresan, S., Ghachi, A. F., Pradhan, S., Paul, S., Chaturvedi, K., Singh, M. P., Patil, S., Johnson, L. S., et al. (2025) · Cureus · doi:10.7759/cureus.82350 · Cited by 23 · see citing works
de Medeiros, S. F., de Medeiros, M. A. S., Barbosa, B. B., Yamamoto, M. M. W., & Maciel, G. A. R. (2020) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-020-05867-x · Cited by 18 · see citing works
“Despite pelvic ultrasound had not been recommended for the diagnosis of PCOS before 8 years post-menarche [12, 13, 33], polycystic ovary morphology (PCOM) was defined by established criteria for adolescents and adults [7, 33, 34] using vaginal transducer with a frequency of 5–8 MHz (Toshiba Xario SSA-660A, Toshiba Med…”
MethodVine, D. F., Beilin, L. J., Burrows, S., Huang, R.-C., Hickey, M., Hart, R., Proctor, S. D., & Mori, T. A. (2020) · Journal of the Endocrine Society · doi:10.1210/jendso/bvaa061 · Cited by 17 · see citing works
Yin, M. X. C., Leng, L.-L., Liang, Z., Chen, X.-Y., Chan, C., & Chan, C. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.05.028 · Cited by 17 · see citing works
Waghmare, S. V., & Shanoo, A. (2023) · Cureus · doi:10.7759/cureus.47408 · Cited by 23 · see citing works
“There were four main phenotypes reported based on the Rotterdam criteria (Figure 2 ) [2,3].”
Moss, K. M., Doust, J. A., Copp, T., Homer, H. A., & Mishra, G. D. (2023) · Fertility and Sterility · doi:10.1016/j.fertnstert.2023.11.008 · Cited by 16 · see citing works
Sun, Q., Gao, Y. J., Yang, J., Lu, J., Feng, W., & Wen, Y. (2021) · Reproductive Sciences · doi:10.1007/s43032-021-00776-z · Cited by 15 · see citing works
Matorras, R., Pijoán, J. I., Laínz, L., Díaz-Núñez, M., Sainz, H., Pérez-Fernández, S., & Moreira, D. (2022) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-022-06757-0 · Cited by 15 · see citing works
“Introduction Polycystic ovary syndrome (PCOS) is the most common endocrinopathy in women of reproductive age, with a prevalence of between 8 and 13% depending on the population studied and definitions used [1, 2, 3].”
BackgroundLiu, Y.-C., Wang, J., Li, J., Guo, Y., Han, F., Lu, W., & Wu, Q. (2023) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2023.117346 · Cited by 13 · see citing works
Rashid, N., Nigam, A., Jain, S. K., Naqvi, S. H., & Wajid, S. (2020) · Cell and Tissue Research · doi:10.1007/s00441-020-03171-3 · Cited by 13 · see citing works
Li, X., Zhu, L., & Luo, Y. (2022) · Bioengineered · doi:10.1080/21655979.2022.2070965 · Cited by 12 · see citing works
“As a common type of hormonal disorder, polycystic ovary syndrome (PCOS) mainly affects women at their reproductive age [1,2].”
RetractedPetraitienė, I., Valūnienė, M., Jarienė, K., Šeibokaitė, A., Albertsson-Wikland, K. G., & Verkauskienė, R. (2019) · Journal of Pediatric and Adolescent Gynecology · doi:10.1016/j.jpag.2019.11.001 · Cited by 12 · see citing works
Hong, Z., Wu, P., Zhuang, H., Chen, L., Hong, S., & Qin, J. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-06378-8 · Cited by 11 · see citing works
Fat Mass and Obesity Association gene Polymorphism in PCOS Iraqi Women
Ibraheem, Q. A., Obaidy, L. H. A. A., Nasir, G. A., & Al‐Obaidi, M. T. (2020) · Baghdad Science Journal · doi:10.21123/bsj.2020.17.3(suppl.).1103 · Cited by 11 · see citing works
“In this study the age had no significant association in the PCOS because all 68 participants were in the same age, even though PCOS can affect women over wide range of their fertility life (12-55) years.”
BackgroundAlarcón-Granados, M. C., Moreno-Ortíz, H., Esteban-Pérez, C., Ferrebuz-Cardozo, A., Camargo-Villalba, G., & Forero-Castro, M. (2022) · Heliyon · doi:10.1016/j.heliyon.2022.e09673 · Cited by 12 · see citing works
Harnessing SIRT1 activators for effective PCOS treatment: A new frontier
Moharir, S. R., Talamadla, M. K., Bhardwaj, P., Banerjee, A., Dey, R. J., & Sekhar, K. V. G. C. (2025) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2025.118361 · Cited by 11 · see citing works
Inhibition of sestrin 1 alleviates polycystic ovary syndrome by decreasing autophagy
Xu, X., Song, X., Xu, X., Yanluan, Z., Xu, L., & Shen, L. (2021) · Aging · doi:10.18632/aging.202872 · Cited by 10 · see citing works
Powell, M. J., Fuller, S., Gunderson, E. P., & Benz, C. C. (2022) · Human Reproduction · doi:10.1093/humrep/deac059 · Cited by 9 · see citing works
Síndrome dos ovários policísticos: aspectos clínicos e impactos na saúde da mulher
Cavalcante, I. D. S., Mendes, I. P. G., Silva, M. L. L. D. S., Barbosa, G. S. L., Hasegawa, L. E. M., Veiga, A. V. M., Ferraz, I. C., Gomes, F. E. S., & dos Santos, L. M. D. S. A. (2021) · Research Society and Development · doi:10.33448/rsd-v10i2.12398 · Cited by 9 · see citing works
Shamim, H., Jean, M., Umair, M., Muddaloor, P., Farinango, M., Ansary, A., Dakka, A., Nazir, Z., White, C. T., Habbal, A. B., et al. (2022) · Cureus · doi:10.7759/cureus.28462 · Cited by 15 · see citing works
“Figure 3 demonstrates the effects of PCOS at different stages of life [26].”
BackgroundMaamari, R. A., Hashmi, I. A., Dhuli, A. A. A., Abri, A. A., Ghaithi, A. A., & Sinan, S. A. (2023) · Iranian Journal of Nursing and Midwifery Research · doi:10.4103/ijnmr.ijnmr_355_22 · Cited by 8 · see citing works
“[5] In the Middle Eastern countries, cardiovascular diseases are already the leading cause of mortality for women.”
BackgroundValdimarsdottir, R., Vanky, E., Elenis, E., Ahlsson, F., Lindström, L., Junus, K., Wikström, A., & Poromaa, I. S. (2024) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/aogs.14998 · Cited by 9 · see citing works
Nandi, A., Singh, K. D., & Sharma, K. (2025) · Microchimica Acta · doi:10.1007/s00604-025-07187-w · Cited by 9 · see citing works
“Symptoms like irregular periods and weight gain are often considered normal alterations due to stress or life-style [19, 86].”
Regenerative Medicine Perspectives in Polycystic Ovary Syndrome
Arjmand, B., Alaei, S., Heravani, N. F., Alavi-Moghadam, S., Payab, M., Ebrahimpour, M., Aghayan, H. R., Goodarzi, P., & Larijani, B. A. (2021) · Advances in experimental medicine and biology · doi:10.1007/5584_2021_623 · Cited by 8 · see citing works
Relation of serum vitamin D level in polycystic ovarian syndrome (PCOS) patients to ICSI outcome
Omran, E., Ramzy, A. M., Shohayeb, A., Farouk, N., Soliman, M., Baz, H., & Sharaf, M. F. (2020) · Middle East Fertility Society Journal · doi:10.1186/s43043-020-00034-3 · Cited by 7 · see citing works
Kalhor, M., Mohammadi, E., Shahali, S., Amini, L., & Moghaddam-Banaem, L. (2022) · International Journal of Reproductive BioMedicine (IJRM) · doi:10.18502/ijrm.v20i9.12062 · Cited by 6 · see citing works
“, 2018 (6) Review -No mention about grey literature -No mention about the characteristics of the included studies -No mention of the scientific quality of the included studies 75%”
BackgroundInfluentialKamrul-Hasan, A. B. M., & Aalpona, F. T. Z. (2023) · Endocrine and Metabolic Science · doi:10.1016/j.endmts.2023.100153 · Cited by 6 · see citing works
Role of Vitamin E in Pregnancy
Siddiqui, M. A., Ahmad, U., Ali, A., Ahsan, F., & Haider, M. F. (2021) · Biochemistry · doi:10.5772/intechopen.97268 · Cited by 6 · see citing works
Endocrine-disrupting chemicals and PCOS: A novel contributor in the etiology of the syndrome
Diamanti‐Kandarakis, E., Papalou, O., & Kandaraki, E. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-823045-9.00015-8 · Cited by 6 · see citing works
The Triad Of PCOS, Infertility And Metformin
Khan, A., Karim, N., & Ainuddin, J. A. (2018) · Journal of Bahria University Medical and Dental College · doi:10.51985/jbumdc2018144 · Cited by 6 · see citing works
Vine, D. F., Proctor, E., Weaver, O. R., Ghosh, M., Maximova, K., & Proctor, S. D. (2021) · Journal of the Endocrine Society · doi:10.1210/jendso/bvab114 · Cited by 6 · see citing works
Chronic Estrus Disrupts Uterine Gland Development and Homeostasis
Stewart, C. A., Stewart, M. D., Wang, Y., Mullen, R. D., Kircher, B. K., Liang, R., Liu, Y., & Behringer, R. R. (2022) · Endocrinology · doi:10.1210/endocr/bqac011 · Cited by 6 · see citing works
Combined Oral Contraceptives for Polycystic Ovary Syndrome: Pro and Contra (Review)
Мазеркина, И. А., Davydov, I. G., & Сергеевна, А. О. (2024) · Safety and Risk of Pharmacotherapy · doi:10.30895/2312-7821-2024-12-2-214-229 · Cited by 5 · see citing works
Kokori, E., Olatunji, G. D., Komolafe, R., Ogieuhi, I. J., Ukoaka, B. M., Ajayi, I., & Aderinto, N. (2024) · Clinical Diabetes and Endocrinology · doi:10.1186/s40842-024-00190-9 · Cited by 5 · see citing works
Jacob, J., Vijayakumar, N., & Olickal, J. J. (2021) · Journal of Ayurveda and Integrative Medicine · doi:10.1016/j.jaim.2021.06.015 · Cited by 5 · see citing works
“Polycystic Ovarian Syndrome (PCOS) is one of those diseases caused by an altered lifestyle, affecting the capacity to give birth to children [1].”
BackgroundPolycystic Ovary Syndrome (PCOS)
Hechtman, L. (2020) · Elsevier eBooks · doi:10.1016/b978-0-323-43044-9.00209-0 · Cited by 6 · see citing works
Unfer, V. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms221810114 · Cited by 5 · see citing works
First ovarian response to gonadotrophin stimulation in rats exposed to neonatal androgen excess
Chávez‐Genaro, R., & Anesetti, G. (2018) · Journal of Molecular Histology · doi:10.1007/s10735-018-9800-5 · Cited by 5 · see citing works
High androgen level causes recurrent miscarriage and impairs endometrial receptivity
Su, Y., & Shi, H. (2021) · Tropical Journal of Pharmaceutical Research · doi:10.4314/tjpr.v18i7.27 · Cited by 5 · see citing works
Messinis, I. E., Messini, C. I., & Daponte, A. I. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108582322.015 · Cited by 5 · see citing works
Saedi, A., Zarei, S., Vatanparast, M., Hajizadeh, M. R., Hosseiniara, R., Esmaeili, O. S., Mohammad-Sadeghipour, M., Mirzaei, Z., & Mahmoodi, M. (2024) · Annales Pharmaceutiques Françaises · doi:10.1016/j.pharma.2024.08.008 · Cited by 4 · see citing works
Ildarabadi, A., Dastjerdi, M. V., Ghorbanpour, M., Mousavi, A., Meshkani, M., Yekaninejad, M. S., & Saedisomeolia, A. (2024) · Osong Public Health and Research Perspectives · doi:10.24171/j.phrp.2024.0187 · Cited by 4 · see citing works
“PCOS is associated with autoimmune responses and is defined as a polygenic, multifactorial, systemic, and inflammatory disease involving imbalanced steroid levels, which suggests a connection to unhealthy lifestyle factors [ 5 ].”
Aburto-Hernández, C., Barrera, D., Ortiz-Hernández, R., Espinoza‐Simón, E., Parra-Gámez, L., González, J., Escobar, M. L., Vázquez‐Nin, G. H., Echeverría-Martínez, O., & Torres‐Ramírez, N. (2022) · Metabolites · doi:10.3390/metabo12121182 · Cited by 4 · see citing works
“is strongly related to metabolic diseases [25], begi n g in childhood and puberty of patients [26], we cided to analyze some metabolic parameters in 3-month-old pups.”
BackgroundRole of complementary and alternative medicine in polycystic ovary syndrome
Siddique, R., & Mehmood, M. H. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-87932-3.00031-1 · Cited by 4 · see citing works
Kim, Y., Chae, K., Kim, S., Kang, S. Y., Yoon, H., & Namkung, J. (2025) · International Journal of Women s Health · doi:10.2147/ijwh.s490673 · Cited by 3 · see citing works
“Clinical and biochemical manifestations of PCOS change with age, 55 and obesity was related to PCOS 55 and mental health 56 both.”
Sacca, L., Okwaraji, G., Densley, S., Marciniak, A., Knecht, M. K., Wilson, C., Pilitsis, J. G., & Hopkins, D. K. (2024) · SAGE Open Medicine · doi:10.1177/20503121241262158 · Cited by 3 · see citing works
“45,46 Ovarian androgen secretion capacity declines with age in both healthy women and in women with PCOS; however, it remains enhanced in females and individuals with PCOS until the late reproductive years.”
BackgroundNasseh, A., & Sarvaideo, J. L. (2020) · Springer eBooks · doi:10.1007/978-3-030-50695-7_6 · Cited by 3 · see citing works
Falahati‐pour, S. K., Pourmasumi, S., & Mirhashemi, E. S. (2023) · Indian Journal of Endocrinology and Metabolism · doi:10.4103/ijem.ijem_360_22 · Cited by 3 · see citing works
“Vitamin D3 and fasting blood sugar were 21.31±9.18 (ng/mL) and 97.90 ± 16.21 (mg/dL) respectively [Table 1].”
BackgroundInfluentialalhibshi, L., Sarhan, A.-M., & abdo, A. (2019) · Zagazig University Medical Journal · doi:10.21608/zumj.2019.17162.1530 · Cited by 3 · see citing works
Prevalencia del síndrome de ovario poliquístico en mujeres colombianas con acné en la etapa adulta
Mantilla-Villabona, L. Y., Vergara, J. I., Barrera, D. L., Ríos, X. P., Wandurraga-Sánchez, E. A., & Gómez, S. E. S. (2023) · Revista de la Asociación Colombiana de Dermatología y Cirugía Dermatológica · doi:10.29176/2590843x.1682 · Cited by 2 · see citing works
“el 1% hasta el 45%; esto es influenciado por factores genéticos y ambientales (18).”
BackgroundNandi, A., Gillespie, S. W., Ice, S. N., Thakur, D., Gaur, Y. K., Singh, K. D., & Sharma, K. (2025) · Biosensors and Bioelectronics X · doi:10.1016/j.biosx.2025.100657 · Cited by 2 · see citing works
- Authors
- Group of interest in Reproductive Endocrinology (GIER) of the Spanish Fertility Society (SEF), Bellver, J., Rodríguez-Tabernero, L., Robles, A., Muñoz, E., Martínez, F., Landeras, J., García-Velasco, J., Fontes, J., Álvarez, M., Álvarez, C., & Acevedo, B.
- Affiliations
- Universitat de València (ES)
- Hospital Del Mar (ES)
- Hospital Universitario Dexeus (ES)
- Universidad Rey Juan Carlos (ES)
- Hospital Universitario Virgen de las Nieves (ES)
- Hospital Universitario Fundación Jiménez Díaz (ES)
- Corresponding author
- Bellver, José
- Venue
- Journal of Assisted Reproduction and Genetics
- Published
- 2017-09-27
- Volume
- 35
- Issue
- 1
- Pages
- 25-39
- ISSN
- 0740-7769 (ISSN-L)
- 1058-0468
- 1573-7330
- PMC
- PMC5758469
- OpenAlex
- W2758457511
- Cited by
- 180
- References
- 146
- Citations by year
- 2026: 8 · 2025: 18 · 2024: 20 · 2023: 28 · 2022: 25 · 2021: 35 · 2020: 22 · 2019: 13 · 2018: 9 · 2017: 1 · 2016: 1
- FWCI
- 2.01
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Assisted Reproduction and Genetics (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- RISalud Institutional Health Repository of Andalucía (submittedVersion, other-oa)
- Repository of Digital Objects for Teaching Research and Culture (University of Valencia) (submittedVersion, cc-by-nc)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Biology and Fertility
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Keywords
- polycystic ovary syndrome, PCOS phenotypes, fetal programming, hyperandrogenism, insulin resistance, anovulation, infertility, PCOS diagnosis, lifestyle therapy, pharmacotherapy
- MeSH terms
- Adolescent, Adult, Female, Humans, Middle Aged, Polycystic Ovary Syndrome, Reproduction, Sexual Maturation, Growth and Development, Young Adult
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