Polycystic Ovary Syndrome: Etiology, Current Management, and Future Therapeutics

Polycystic ovary syndrome (PCOS) is a complex endocrine and metabolic disorder, typically characterized by anovulation, infertility, obesity, insulin resistance, and polycystic ovaries. Lifestyle or diet, environmental pollutants, genetics, gut dysbiosis, neuroendocrine alterations, and obesity are...

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Main Authors: Samradhi Singh, Namrata Pal, Swasti Shubham, Devojit Kumar Sarma, Vinod Verma, Francesco Marotta, Manoj Kumar
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/4/1454
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author Samradhi Singh
Namrata Pal
Swasti Shubham
Devojit Kumar Sarma
Vinod Verma
Francesco Marotta
Manoj Kumar
author_facet Samradhi Singh
Namrata Pal
Swasti Shubham
Devojit Kumar Sarma
Vinod Verma
Francesco Marotta
Manoj Kumar
author_sort Samradhi Singh
collection DOAJ
description Polycystic ovary syndrome (PCOS) is a complex endocrine and metabolic disorder, typically characterized by anovulation, infertility, obesity, insulin resistance, and polycystic ovaries. Lifestyle or diet, environmental pollutants, genetics, gut dysbiosis, neuroendocrine alterations, and obesity are among the risk factors that predispose females to PCOS. These factors might contribute to upsurging metabolic syndrome by causing hyperinsulinemia, oxidative stress, hyperandrogenism, impaired folliculogenesis, and irregular menstrual cycles. Dysbiosis of gut microbiota may play a pathogenic role in the development of PCOS. The restoration of gut microbiota by probiotics, prebiotics, or a fecal microbiota transplant (FMT) might serve as an innovative, efficient, and noninvasive way to prevent and mitigate PCOS. This review deliberates on the variety of risk factors potentially involved in the etiology, prevalence, and modulation of PCOS, in addition to plausible therapeutic interventions, including miRNA therapy and the eubiosis of gut microbiota, that may help treat and manage PCOS.
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spelling doaj.art-15870a1a485c466c8c16f0a722268b702023-11-16T21:19:47ZengMDPI AGJournal of Clinical Medicine2077-03832023-02-01124145410.3390/jcm12041454Polycystic Ovary Syndrome: Etiology, Current Management, and Future TherapeuticsSamradhi Singh0Namrata Pal1Swasti Shubham2Devojit Kumar Sarma3Vinod Verma4Francesco Marotta5Manoj Kumar6ICMR—National Institute for Research in Environmental Health, Bhopal Bypass Road, Bhopal 462030, IndiaICMR—National Institute for Research in Environmental Health, Bhopal Bypass Road, Bhopal 462030, IndiaICMR—National Institute for Research in Environmental Health, Bhopal Bypass Road, Bhopal 462030, IndiaICMR—National Institute for Research in Environmental Health, Bhopal Bypass Road, Bhopal 462030, IndiaStem Cell Research Centre, Department of Hematology, Sanjay Gandhi Post-Graduate Institute of MedicalSciences, Lucknow 226014, IndiaReGenera R&D International for Aging Intervention, 20144 Milano, Lombardia, ItalyICMR—National Institute for Research in Environmental Health, Bhopal Bypass Road, Bhopal 462030, IndiaPolycystic ovary syndrome (PCOS) is a complex endocrine and metabolic disorder, typically characterized by anovulation, infertility, obesity, insulin resistance, and polycystic ovaries. Lifestyle or diet, environmental pollutants, genetics, gut dysbiosis, neuroendocrine alterations, and obesity are among the risk factors that predispose females to PCOS. These factors might contribute to upsurging metabolic syndrome by causing hyperinsulinemia, oxidative stress, hyperandrogenism, impaired folliculogenesis, and irregular menstrual cycles. Dysbiosis of gut microbiota may play a pathogenic role in the development of PCOS. The restoration of gut microbiota by probiotics, prebiotics, or a fecal microbiota transplant (FMT) might serve as an innovative, efficient, and noninvasive way to prevent and mitigate PCOS. This review deliberates on the variety of risk factors potentially involved in the etiology, prevalence, and modulation of PCOS, in addition to plausible therapeutic interventions, including miRNA therapy and the eubiosis of gut microbiota, that may help treat and manage PCOS.https://www.mdpi.com/2077-0383/12/4/1454PCOSgut microbiomeprobioticsFMTgut dysbiosishyperinsulinemia
spellingShingle Samradhi Singh
Namrata Pal
Swasti Shubham
Devojit Kumar Sarma
Vinod Verma
Francesco Marotta
Manoj Kumar
Polycystic Ovary Syndrome: Etiology, Current Management, and Future Therapeutics
Journal of Clinical Medicine
PCOS
gut microbiome
probiotics
FMT
gut dysbiosis
hyperinsulinemia
title Polycystic Ovary Syndrome: Etiology, Current Management, and Future Therapeutics
title_full Polycystic Ovary Syndrome: Etiology, Current Management, and Future Therapeutics
title_fullStr Polycystic Ovary Syndrome: Etiology, Current Management, and Future Therapeutics
title_full_unstemmed Polycystic Ovary Syndrome: Etiology, Current Management, and Future Therapeutics
title_short Polycystic Ovary Syndrome: Etiology, Current Management, and Future Therapeutics
title_sort polycystic ovary syndrome etiology current management and future therapeutics
topic PCOS
gut microbiome
probiotics
FMT
gut dysbiosis
hyperinsulinemia
url https://www.mdpi.com/2077-0383/12/4/1454
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