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Article ; Online: Biological therapies for premature ovarian insufficiency: what is the evidence?

Moustaki, Melpomeni / Kontogeorgi, Adamantia / Tsangkalova, Gkalia / Tzoupis, Haralampos / Makrigiannakis, Antonis / Vryonidou, Andromachi / Kalantaridou, Sophia N

Frontiers in reproductive health

2023  Volume 5, Page(s) 1194575

Abstract: Premature Ovarian Insufficiency (POI) is a multi-factorial disorder that affects women of reproductive age. The condition is characterized by the loss of ovarian function before the age of 40 years and several factors have been identified to be ... ...

Abstract Premature Ovarian Insufficiency (POI) is a multi-factorial disorder that affects women of reproductive age. The condition is characterized by the loss of ovarian function before the age of 40 years and several factors have been identified to be implicated in its pathogenesis. Remarkably though, at least 50% of women have remaining follicles in their ovaries after the development of ovarian insufficiency. Population data show that approximately up to 3.7% of women worldwide suffer from POI and subsequent infertility. Currently, the treatment of POI-related infertility involves oocyte donation. However, many women with POI desire to conceive with their own ova. Therefore, experimental biological therapies, such as Platelet-Rich Plasma (PRP), Exosomes (exos) therapy, In vitro Activation (IVA), Stem Cell therapy, MicroRNAs and Mitochondrial Targeting Therapies are experimental treatment strategies that focus on activating oogenesis and folliculogenesis, by upregulating natural biochemical pathways (neo-folliculogenesis) and improving ovarian microenvironment. This mini-review aims at identifying the main advantages of these approaches and exploring whether they can underpin existing assisted reproductive technologies.
Language English
Publishing date 2023-09-07
Publishing country Switzerland
Document type Journal Article ; Review
ISSN 2673-3153
ISSN (online) 2673-3153
DOI 10.3389/frph.2023.1194575
Database MEDical Literature Analysis and Retrieval System OnLINE

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