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

Ying-Pei Xu, Ji-Chun Fu, Zhilin Hong, De-Fei Zeng, Chao-Qin Guo, Ping Li, Jinxiang Wu
In: Gynecological Endocrinology · 2024 · vol. 40(1) , pp. 2360085 · doi:10.1080/09513590.2024.2360085 · PMID:38813955 · W4399176400
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This review examines how psychological stressors may contribute to premature ovarian insufficiency by inducing oxidative stress and follicular atresia, and explores potential early intervention strategies.

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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.

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