Journal of International Reproductive Health/Family Planning ›› 2021, Vol. 40 ›› Issue (5): 415-419.doi: 10.12280/gjszjk.20210137

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Influencing Factors Related to Endometrial Disease Caused by Polycystic Ovary Syndrome

CAO Jing, SU Rui, WANG Xiao-hui()   

  1. The First Clinical Medical College of Lanzhou University, Lanzhou 730000, China(CAO Jing), Department of Obstetrics and Gynecology, First Hospital of Lanzhou University, Lanzhou 730000, China(SU Rui, WANG Xiao-hui)
  • Received:2021-03-21 Published:2021-09-15 Online:2021-09-29
  • Contact: WANG Xiao-hui E-mail:xiaohuiwang2015@163.com

Abstract:

Polycystic ovary syndrome (PCOS) is a reproductive endocrine and metabolic disease caused by multiple etiologies. It is clinically manifested as hirsutism, acne, ovulation disorders, oligomenorrhea and amenorrhea. The long-term complications of PCOS include metabolism syndrome, cardiovascular disease, endometrial carcinoma (EC), etc. Endometrial disease refers to the irregular vaginal bleeding, prolonged menstrual period and increased menstrual flow caused by endocrine disorders. Endometrial disease includes endometrial hyperplasia (EH) and EC. The risk of endometrial disease in PCOS patients is increased due to their endocrine and metabolic disorders (including the disorder of estrogen and androgen secretion, insulin resistance and hyperinsulinemia), inflammation, microsatellite instability, miRNA expression disorders and their long-term comorbidities ( such as obesity, diabetes, etc.). The EH and EC in PCOS patients affect their physical and mental health. This article summarizes the research progress of PCOS-related endometrial disease and influencing factors.

Key words: Polycystic ovary syndrome, Uterine diseases, Estrogens, Androgens, Microsatellite instability