Hypothalamic-Pituitary-Ovarian Axis Disorders Impacting Female Fertility

The hypothalamic-pituitary-ovarian (HPO) axis is a tightly regulated system controlling female reproduction. HPO axis dysfunction leading to ovulation disorders can be classified into three categories defined by the World Health Organization (WHO). Group I ovulation disorders involve hypothalamic fa...

Full description

Bibliographic Details
Main Authors: Sasha Mikhael, Advaita Punjala-Patel, Larisa Gavrilova-Jordan
Format: Article
Language:English
Published: MDPI AG 2019-01-01
Series:Biomedicines
Subjects:
Online Access:http://www.mdpi.com/2227-9059/7/1/5
_version_ 1818032224196362240
author Sasha Mikhael
Advaita Punjala-Patel
Larisa Gavrilova-Jordan
author_facet Sasha Mikhael
Advaita Punjala-Patel
Larisa Gavrilova-Jordan
author_sort Sasha Mikhael
collection DOAJ
description The hypothalamic-pituitary-ovarian (HPO) axis is a tightly regulated system controlling female reproduction. HPO axis dysfunction leading to ovulation disorders can be classified into three categories defined by the World Health Organization (WHO). Group I ovulation disorders involve hypothalamic failure characterized as hypogonadotropic hypogonadism. Group II disorders display a eugonadal state commonly associated with a wide range of endocrinopathies. Finally, group III constitutes hypergonadotropic hypogonadism secondary to depleted ovarian function. Optimal evaluation and management of these disorders is based on a careful analysis tailored to each patient. This article reviews ovulation disorders based on pathophysiologic mechanisms, evaluation principles, and currently available management options.
first_indexed 2024-12-10T06:03:58Z
format Article
id doaj.art-4eb9a658429142b4b6ad9faa707a90d4
institution Directory Open Access Journal
issn 2227-9059
language English
last_indexed 2024-12-10T06:03:58Z
publishDate 2019-01-01
publisher MDPI AG
record_format Article
series Biomedicines
spelling doaj.art-4eb9a658429142b4b6ad9faa707a90d42022-12-22T01:59:45ZengMDPI AGBiomedicines2227-90592019-01-0171510.3390/biomedicines7010005biomedicines7010005Hypothalamic-Pituitary-Ovarian Axis Disorders Impacting Female FertilitySasha Mikhael0Advaita Punjala-Patel1Larisa Gavrilova-Jordan2Division of Reproductive Endocrinology Infertility and Genetics, Augusta University, Medical College of Georgia, Augusta, GA 30912, USADepartment of Obstetrics and Gynecology, Augusta University, Medical College of Georgia, Augusta, GA 30912, USADivision of Reproductive Endocrinology Infertility and Genetics, Augusta University, Medical College of Georgia, Augusta, GA 30912, USAThe hypothalamic-pituitary-ovarian (HPO) axis is a tightly regulated system controlling female reproduction. HPO axis dysfunction leading to ovulation disorders can be classified into three categories defined by the World Health Organization (WHO). Group I ovulation disorders involve hypothalamic failure characterized as hypogonadotropic hypogonadism. Group II disorders display a eugonadal state commonly associated with a wide range of endocrinopathies. Finally, group III constitutes hypergonadotropic hypogonadism secondary to depleted ovarian function. Optimal evaluation and management of these disorders is based on a careful analysis tailored to each patient. This article reviews ovulation disorders based on pathophysiologic mechanisms, evaluation principles, and currently available management options.http://www.mdpi.com/2227-9059/7/1/5ovulatory dysfunctioninfertilityhypothalamic-pituitary-ovarian axisWHO ovulation disordersprimary ovarian insufficiency
spellingShingle Sasha Mikhael
Advaita Punjala-Patel
Larisa Gavrilova-Jordan
Hypothalamic-Pituitary-Ovarian Axis Disorders Impacting Female Fertility
Biomedicines
ovulatory dysfunction
infertility
hypothalamic-pituitary-ovarian axis
WHO ovulation disorders
primary ovarian insufficiency
title Hypothalamic-Pituitary-Ovarian Axis Disorders Impacting Female Fertility
title_full Hypothalamic-Pituitary-Ovarian Axis Disorders Impacting Female Fertility
title_fullStr Hypothalamic-Pituitary-Ovarian Axis Disorders Impacting Female Fertility
title_full_unstemmed Hypothalamic-Pituitary-Ovarian Axis Disorders Impacting Female Fertility
title_short Hypothalamic-Pituitary-Ovarian Axis Disorders Impacting Female Fertility
title_sort hypothalamic pituitary ovarian axis disorders impacting female fertility
topic ovulatory dysfunction
infertility
hypothalamic-pituitary-ovarian axis
WHO ovulation disorders
primary ovarian insufficiency
url http://www.mdpi.com/2227-9059/7/1/5
work_keys_str_mv AT sashamikhael hypothalamicpituitaryovarianaxisdisordersimpactingfemalefertility
AT advaitapunjalapatel hypothalamicpituitaryovarianaxisdisordersimpactingfemalefertility
AT larisagavrilovajordan hypothalamicpituitaryovarianaxisdisordersimpactingfemalefertility