Title |
Metformin therapy for the reproductive and metabolic consequences of polycystic ovary syndrome
|
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Published in |
Diabetologia, August 2017
|
DOI | 10.1007/s00125-017-4306-3 |
Pubmed ID | |
Authors |
Susan Sam, David A. Ehrmann |
Abstract |
Polycystic ovary syndrome (PCOS), the most common hormonal disorder among women of reproductive age, has various metabolic and reproductive consequences. Metformin was originally shown to lower testosterone levels in women with PCOS in the 1990s, an effect presumably related to its insulin sensitising actions. However, the precise mechanisms of metformin action in PCOS remain unclear and there is considerable heterogeneity in the clinical response to this therapy in women with PCOS. Recent evidence indicates that genetic factors may play a significant role in predicting response to metformin therapy in PCOS and future studies are needed to further identify women who are most likely to benefit from this therapy. At present, there is no clear evidence to support broad metformin use in PCOS. Well-designed prospective trials are needed to establish clear benefit for metformin use in the treatment of the reproductive and metabolic consequences associated with PCOS. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 10 | 22% |
United Kingdom | 8 | 17% |
Mexico | 2 | 4% |
Italy | 1 | 2% |
India | 1 | 2% |
Saudi Arabia | 1 | 2% |
Peru | 1 | 2% |
Paraguay | 1 | 2% |
Unknown | 21 | 46% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 33 | 72% |
Practitioners (doctors, other healthcare professionals) | 8 | 17% |
Scientists | 5 | 11% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 106 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 15 | 14% |
Student > Master | 11 | 10% |
Student > Ph. D. Student | 10 | 9% |
Other | 9 | 8% |
Researcher | 8 | 8% |
Other | 17 | 16% |
Unknown | 36 | 34% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 25 | 24% |
Biochemistry, Genetics and Molecular Biology | 14 | 13% |
Nursing and Health Professions | 7 | 7% |
Agricultural and Biological Sciences | 7 | 7% |
Pharmacology, Toxicology and Pharmaceutical Science | 6 | 6% |
Other | 7 | 7% |
Unknown | 40 | 38% |