Sanaka M, Iwamoto Y
Diabetes Center, Tokyo Women's Medical University.
Nihon Rinsho. 2000 Feb;58(2):465-70.
Polycystic ovary syndrome(PCOS) is characterized by clinical symptoms such as menstrual dysfunction, unovulatory infertility, masculinization, obesity, polycystic ovary by ultrasound, and endocrine abnormalities such as hyperandrogenism, and elevated LH to FSH ratio. Recent reports suggest that insulin resistance plays an important role in the pathogenesis of PCOS, and several insulin sensitizing agents have been used for the treatment of PCOS. Troglitazone, one of the thiazolidinediones, improves not only insulin sensitivity but also hyperandrogenism and ovulatory function. Troglitazone appears to be useful in treating women with PCOS. Further investigations are needed to assess the effectiveness and safety.
多囊卵巢综合征(PCOS)的特征包括月经功能障碍、无排卵性不孕、男性化、肥胖、超声显示多囊卵巢等临床症状,以及高雄激素血症、LH与FSH比值升高等内分泌异常。最近的报告表明,胰岛素抵抗在PCOS的发病机制中起重要作用,几种胰岛素增敏剂已被用于治疗PCOS。曲格列酮是噻唑烷二酮类药物之一,不仅能改善胰岛素敏感性,还能改善高雄激素血症和排卵功能。曲格列酮似乎对治疗PCOS女性有用。需要进一步研究来评估其有效性和安全性。