Shen Wenjuan, Jin Bao, Pan Yujia, Han Yanhua, You Tianjiao, Zhang Zongyu, Qu Yangfan, Liu Sha, Zhang Yang
Department of Obstetrics and Gynecology, First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin 150040, China.
Department of Obstetrics and Gynecology, Heilongjiang University of Chinese Medicine, Harbin 150040, China.
Evid Based Complement Alternat Med. 2021 Feb 26;2021:6619597. doi: 10.1155/2021/6619597. eCollection 2021.
Polycystic ovary syndrome (PCOS) is a touchy clinical and public health problem worldwide, which adversely affects women's health and health-related comorbidities for lifetime, and represents a tremendous burden for both the family of the patient and for society. According to the diagnostic criteria used and the population studied, the prevalence rate of PCOS is between 6% and 21%. However, current conventional modern medicines for PCOS are only moderately effective at controlling the signs and symptoms, while they are not thoroughly able to prevent complications. Therefore, many patients have turned to complementary and alternative medical (CAM) treatments. CAM use is wide spread among patients with PCOS, and more than 70% of patients use CAM at one point during their diseases. The patients' primary motivations include dissatisfaction with available medications, perceive higher risk of drug side effects and crushing health burden and economic costs, desire for symptom relief, pursuit of shortening the course of disease, and the belief that CAM therapy is in accordance with the patients' values and beliefs. At present, several CAM methods have been used in women with PCOS, which has achieved obvious effects. However, biologically plausible mechanisms of the action of traditional Chinese medicine- (TCM-) associated CAM for PCOS have not been systematically reviewed. This review briefly summarizes the current progress of the impact of herbal medicine on the outcomes of PCOS and introduces the mechanisms.
多囊卵巢综合征(PCOS)是全球范围内一个棘手的临床和公共卫生问题,它会对女性健康及与之相关的合并症产生终身的不利影响,给患者家庭和社会都带来巨大负担。根据所采用的诊断标准和研究人群不同,PCOS的患病率在6%至21%之间。然而,目前用于治疗PCOS的传统现代药物在控制症状方面效果一般,且无法完全预防并发症。因此,许多患者转向了补充和替代医学(CAM)疗法。CAM在PCOS患者中广泛使用,超过70%的患者在患病期间的某个阶段会使用CAM。患者使用CAM的主要动机包括对现有药物不满意、认为药物副作用风险更高以及不堪健康负担和经济成本、渴望缓解症状、希望缩短病程,以及相信CAM疗法符合患者的价值观和信念。目前,几种CAM方法已应用于PCOS女性患者,并取得了明显效果。然而,与中医相关的CAM治疗PCOS的生物学作用机制尚未得到系统综述。本综述简要总结了草药对PCOS结局影响的当前进展并介绍了作用机制。