Physiopathology of polycystic ovary syndrome in endocrinology, metabolism and inflammation
- PMID: 39980043
- PMCID: PMC11841159
- DOI: 10.1186/s13048-025-01621-6
Physiopathology of polycystic ovary syndrome in endocrinology, metabolism and inflammation
Abstract
Polycystic ovary syndrome (PCOS) is a prevalent endocrine disorder characterized by elevated androgen levels, ovarian cysts, and impaired ovulation in females. This condition is closely linked with various reproductive health issues and has significant impacts on endocrine and metabolic pathways. Patients with PCOS commonly exhibit hyperandrogenaemia and insulin resistance, leading to complications such as acne, hirsutism, weight fluctuations, and metabolic disturbances, as well as an increased risk for type 2 diabetes, cardiovascular disease, and endometrial cancer. Although extensive research has identified several mechanistic aspects of PCOS, a thorough understanding of its pathophysiology remains incomplete. This review aims to provide a detailed analysis of the physiological and pathological aspects of PCOS, covering endocrine, metabolic, and inflammatory dimensions, to better elucidate its etiological framework.
Keywords: Endocrinology; Inflammation; Metabolism; Physiopathology; Polycystic ovary syndrome.
© 2025. The Author(s).
Conflict of interest statement
Declarations. Ethics approval and consent to participate: Not applicable. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. Conflicts of interests: The authors declare that there are no conflicts of interest.
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References
-
- Joham AE, Norman RJ, Stener-Victorin E, Legro RS, Franks S, Moran LJ, et al. Polycystic ovary syndrome. Lancet Diabetes Endocrinol. 2022;10:668–80. 10.1016/S2213-8587(22)00163-2. - PubMed
-
- Hoeger KM, Dokras A, Piltonen T. Update on PCOS: consequences, challenges, and Guiding Treatment. J Clin Endocrinol Metab. 2021;106:e1071–83. 10.1210/clinem/dgaa839. - PubMed
-
- Stein IF, Leventhal ML. Amenorrhea associated with bilateral polycystic ovaries. Am J Obstet Gynecol. 1935;29:181–91.
-
- Silva MSB, Campbell RE. Polycystic ovary syndrome and the neuroendocrine consequences of androgen excess. Compr Physiol. 2022;12:3347–69. 10.1002/cphy.c210025. - PubMed
-
- Goodarzi MO, Dumesic DA, Chazenbalk G, Azziz R. Polycystic ovary syndrome: etiology, pathogenesis and diagnosis. Nat Rev Endocrinol. 2011;7:219–31. 10.1038/nrendo.2010.217. - PubMed
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