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Effects of endocrine disruptive chemicals (EDCs) and therapeutic approaches to the polycystic ovary syndrome (PCOS) : a current state-of-the-art

datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorRobert, Adèle Lemogne
dc.contributor.authorTorres, Edite Oliveira
dc.contributor.authorBaptista, Catarina Jota
dc.date.accessioned2026-05-06T15:55:58Z
dc.date.available2026-05-06T15:55:58Z
dc.date.issued2025-12
dc.description.abstractPolycystic ovary syndrome (PCOS) is an endocrine condition affecting women of reproductive age, characterized by hyperandrogenism, ovulatory dysfunction, and some metabolic disturbances. Emerging evidence has been suggesting a link between certain endocrine-disrupting chemicals (EDCs), such as bisphenol A (BPA) and phthalates, and the pathogenesis and/or exacerbation of PCOS. These exogenous compounds interfere with hormonal function, potentially inducing epigenetic modifications and disrupting insulin sensitivity, primarily when exposure occurs during specific periods. This review explores the role of EDCs in the onset and progression of the condition, and it also outlines current therapeutic strategies, including hormonal contraceptives, insulin sensitizers, ovulation induction agents, and anti-androgenic treatments. Novel approaches targeting gut microbiota, cytokine modulation, and antioxidant therapies are discussed, alongside preventive measures to reduce EDC exposure. Thus, this review highlights the need for a personalized, multimodal management of PCOS, integrating pharmacological, lifestyle, and behavioural intervention. Nevertheless, for some of these therapies, it also emphasizes some lack of causality, as well as limited clinical trial data to support their efficacy.eng
dc.identifier.citationLemogne Robert, A., Oliveira Torres, E., & Jota Baptista, C. (2025). Effects of endocrine disruptive chemicals (EDCs) and therapeutic approaches to the polycystic ovary syndrome (PCOS): A current state-of-the-art. Environmental toxicology and pharmacology, 120, 104842. https://doi.org/10.1016/j.etap.2025.104842
dc.identifier.doi10.1016/j.etap.2025.104842
dc.identifier.issn1872-7077
dc.identifier.urihttp://hdl.handle.net/10400.26/63013
dc.language.isoeng
dc.peerreviewedyes
dc.publisherElsevier
dc.relation.hasversionhttps://doi.org/10.1016/j.etap.2025.104842
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectEndocrine disruptor
dc.subjectPharmacology
dc.subjectPolycystic ovary syndrome
dc.subjectTherapy
dc.subjectToxicology
dc.titleEffects of endocrine disruptive chemicals (EDCs) and therapeutic approaches to the polycystic ovary syndrome (PCOS) : a current state-of-the-arteng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.startPage104842
oaire.citation.titleEnvironmental Toxicology and Pharmacology
oaire.citation.volume120
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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