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.
关键词
多囊卵巢综合征/雄激素类/神经分泌系统/促性腺素释放激素/下丘脑漏斗核
Key words
Polycystic ovary syndrome/Androgens/Neurosecretory systems/Gonadotropin-releasing hormone/Arcuate nucleus of hypothalamus
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