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早发性卵巢功能不全发病机制中的心理应激源及潜在干预措施。

Psychological stressors involved in the pathogenesis of premature ovarian insufficiency and potential intervention measures.

作者信息

Xu Ying-Pei, Fu Ji-Chun, Hong Zhi-Lin, Zeng De-Fei, Guo Chao-Qin, Li Ping, Wu Jin-Xiang

机构信息

Department of Reproductive Medicine, Longyan First Affiliated Hospital of Fujian Medical University, Longyan, Fujian Province, China.

Department of Histology and Embryology, School of Basic Medical Sciences, Fujian Medical University, Fuzhou, China.

出版信息

Gynecol Endocrinol. 2024 Dec;40(1):2360085. doi: 10.1080/09513590.2024.2360085. Epub 2024 May 30.

Abstract

Premature ovarian insufficiency (POI) is a common gynecological endocrine disease, which seriously affects women's physical and mental health and fertility, and its incidence is increasing year by year. With the development of social economy and technology, psychological stressors such as anxiety and depression caused by social, life and environmental factors may be one of the risk factors for POI. We used PubMed to search peer-reviewed original English manuscripts published over the last 10 years to identify established and experimental studies on the relationship between various types of stress and decreased ovarian function. Oxidative stress, follicular atresia, and excessive activation of oocytes, caused by Stress-associated factors may be the main causes of ovarian function damage. This article reviews the relationship between psychological stressors and hypoovarian function and the possible early intervention measures in order to provide new ideas for future clinical treatment and intervention.

摘要

卵巢早衰(POI)是一种常见的妇科内分泌疾病,严重影响女性身心健康及生育能力,且其发病率逐年上升。随着社会经济和技术的发展,由社会、生活及环境因素引起的焦虑和抑郁等心理应激源可能是POI的危险因素之一。我们利用PubMed搜索过去10年发表的经同行评审的英文原始手稿,以确定关于各类应激与卵巢功能减退之间关系的已确立及实验性研究。应激相关因素导致的氧化应激、卵泡闭锁及卵母细胞过度激活可能是卵巢功能受损的主要原因。本文综述心理应激源与卵巢功能减退之间的关系以及可能的早期干预措施,以便为未来临床治疗和干预提供新思路。

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