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Targeting insulin sensitivity in the treatment of polycystic ovary syndrome.

机译:靶向胰岛素敏感性治疗多囊卵巢综合征。

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摘要

Targeting insulin resistance may result in a list of benefits for women with PCOS, including hormonal, metabolic and ovulatory (and fertility) improvements. The therapeutic strategy to treat PCOS should however depend on the clinical situation, the phenotype, the degree of androgen excess, age, the presence of infertility and the woman's desire to conceive, the presence of obesity and, finally, the spectrum of metabolic abnormalities and the need to treat or prevent long-term associated comorbidities. According to the needs, therapeutic options include, alone or in combination, lifestyle management, particularly in the presence of obesity, the use of insulin sensitizers, metformin and thiazolidinediones, antiandrogens or estro-progestins.
机译:靶向胰岛素抵抗可能会为患有PCOS的女性带来一系列好处,包括改善荷尔蒙,代谢和排卵(和生育力)。但是,治疗PCOS的治疗策略应取决于临床情况,表型,雄激素过多的程度,年龄,不孕症的存在和女性的受孕意愿,肥胖症的存在以及最终代谢异常和需要治疗或预防长期相关合并症。根据需要,治疗选择包括单独或组合进行生活方式管理,特别是在肥胖症的情况下,使用胰岛素敏化剂,二甲双胍和噻唑烷二酮,抗雄激素或雌孕激素。

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