Pathophysiology of polycystic ovary syndrome
Autor: | Pierre Mauvais-Jarvis, Claire Bricaire |
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Rok vydání: | 1989 |
Předmět: |
medicine.medical_specialty
medicine.drug_class media_common.quotation_subject Biology Biochemistry Clomiphene Anovulation Endocrinology Internal medicine medicine Humans Ovulation Progesterone hirsutism media_common Estradiol Luteinizing Hormone Androgen medicine.disease Polycystic ovary Decreased FSH Secretion Pathophysiology Androgens Female Follicle Stimulating Hormone Pituitary Hormone-Releasing Hormones Polycystic Ovary Syndrome |
Zdroj: | Journal of Steroid Biochemistry. 33:791-794 |
ISSN: | 0022-4731 |
DOI: | 10.1016/0022-4731(89)90494-9 |
Popis: | The pathophysiology of polycystic ovarian syndrome (PCO) is the subject of many hypotheses and speculations. In particular, the possible intervention in the starting and the maintenance of this syndrome of hyperprolactinemia, androgen hypersecretion, decreased FSH secretion is discussed. A primary abnormality at the level of the GnRH generator responsible for an increase of GnRH pulses frequency and amplitude remains an attractive hypothesis, at least in pure PCO syndrome. However, the possibility that other factors may contribute to the maintenance of a vicious circle of anovulation cannot be neglected. Regarding the treatment of chronic anovulation and hirsutism currently observed in PCO syndrome, only agents acting at the hypothalamic level are efficient, namely: clomiphene citrate for inducing ovulation and antigonadotropic therapies for improvement of hirsutism. These different possibilities are discussed. |
Databáze: | OpenAIRE |
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