Cited by 180Ovarian function and disordersReproductive Biology and FertilityEndometriosis Research and Treatment

Polycystic ovary syndrome throughout a woman’s life

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Group of interest in Reproductive Endocrinology (GIER) of the Spanish Fertility Society (SEF), Bellver, José, Rodríguez-Tabernero, Luis, Robles, Ana, Muñoz, Elkin, Martínez, Francisca, Landeras, José, García-Velasco, Juan +4 more·2018·Journal of Assisted Reproduction and Genetics

Abstract

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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Crossref · 10.1007/s10815-017-1047-7

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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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1 retracted

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2 of the 146 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. Wood JR, Dumesic DA, Abbott DH, Strauss JF III. Molecular abnormalities inoocytes from women with polycystic ovary syn- drome revealed by microarray analysis. J Clin Endocrinol Metab. 2007;92:705-13.
  2. Nejad ES, Saedi T, Saedi S, Rashidi BH, Nekoo ZA, Jahangiri N. Comparison of in vitro fertilisation success in patients with poly- cystic ovary syndrome and tubal factor. Gynecol Endocrinol. 2011;27:117-20.

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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
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
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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