Journal of International Obstetrics and Gynecology ›› 2024, Vol. 51 ›› Issue (6): 698-702.doi: 10.12280/gjfckx.20240683

• Gynecological Disease & Related Research: Review • Previous Articles     Next Articles

Advances in Research on Neuroendocrine Disorders Induced by Hyperandrogenism in Polycystic Ovary Syndrome

LI Chen-xi, FAN Meng-xiao, WU Lin-ling(), DOU Zhen, JIA Jia, SUN Ya-xuan   

  1. Department of Reproductive Medicine, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China (LI Chen-xi, WU Lin-ling, DOU Zhen, JIA Jia, SUN Ya-xuan); Department of Obstetrics, Baotou Mongolian Medicine and Traditional Chinese Medicine Hospital, Baotou 014040, Inner Mongolia, China (FAN Meng-xiao)
  • Received:2024-07-31 Published:2024-12-15 Online:2024-12-16
  • Contact: WU Lin-ling, E-mail: 154384118@qq.com

Abstract:

Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders affecting women of reproductive age, with a high global prevalence. Its impact spans from puberty to menopause, characterized by hyperandrogenemia, ovulatory disorders, and polycystic ovary. Although the pathogenesis of PCOS is not yet fully understood, the central neuroendocrine system plays a significant role in the pathophysiology of PCOS indicated by many studies. One of the important mechanisms developing PCOS is below. High levels of androgens interfere with the activity of gonadotropin-releasing hormone (GnRH) neurons, and affect the feedback regulation of gonadal steroid hormones, leads to dysfunction of the hypothalamic-pituitary-gonadal (HPG) axis that regulates reproductive function in the central nervous system. This article reviewed how hyperandrogenemia induces neuroendocrine disorders in PCOS and explored the potential directions of future researches. It is hoped to provide a scientific basis for further revealing the pathogenesis of PCOS and developing new therapeutic approaches.

Key words: Polycystic ovary syndrome, Androgens, Neurosecretory systems, Gonadotropin-releasing hormone, Arcuate nucleus of hypothalamus