Current opinion in pharmacology

Polycystic Ovary Syndrome: Understanding Causes, Current Treatments, and New Therapies

Updated

Abstract

PCOS is the most prevalent heterogeneous endocrine disorder.

  • PCOS is characterized by hyperandrogenism, anovulation, ovarian dysfunction, and polycystic ovarian morphology.
  • Its pathogenesis may involve interconnected pathways such as neuroendocrine dysregulation and insulin resistance.
  • Alterations in ovarian hormone production and imbalances in LH/FSH ratios are associated with the condition.
  • Recent advances in drug repurposing highlight potential new therapies targeting kisspeptin pathways and neurokinin B receptors.
  • Glucagon-like peptide (GLP-1) agonists and sodium-glucose cotransporter-2 (SGLT-2) inhibitors may offer promising management strategies.
  • Further research is needed to develop phenotype-specific treatments that address menstrual irregularity, metabolic dysregulation, and infertility.

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