Altered Iron Metabolism and Ferroptosis in Polycystic Ovary Syndrome: Insights from a Meta-Analysis and Case-Control Study in Pregnant Women - Scorecard - MDSpire
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Altered Iron Metabolism and Ferroptosis in Polycystic Ovary Syndrome: Insights from a Meta-Analysis and Case-Control Study in Pregnant Women

  • By

  • Tianjing Wang

  • Weihuan Hu

  • Jue Zhou

  • Leyi Fu

  • Ningning Xie

  • Feng Yun

  • Jinlan Piao

  • Jing Lin

  • Danqing Chen

  • Fan Qu

  • Fangfang Wang

  • November 28, 2025

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Clinical Scorecard: Altered Iron Metabolism and Ferroptosis in Polycystic Ovary Syndrome: Insights from a Meta-Analysis and Case-Control Study in Pregnant Women

At a Glance

CategoryDetail
ConditionPolycystic Ovary Syndrome (PCOS)
Key MechanismsAltered iron metabolism and ferroptosis linked to oxidative stress and adverse pregnancy outcomes.
Target PopulationWomen of reproductive age with PCOS, particularly during pregnancy.
Care SettingObstetric and gynecological care settings.

Key Highlights

  • PCOS affects 7-12% of women of reproductive age.
  • Associated with adverse pregnancy outcomes like miscarriage and gestational diabetes.
  • Elevated serum ferritin and reduced hepcidin levels observed in women with PCOS.
  • Ferroptosis may play a role in ovarian follicular atresia and pregnancy complications.
  • Meta-analysis and case-control study conducted to explore iron metabolism in PCOS.

Guideline-Based Recommendations

Diagnosis

  • Diagnosis of PCOS confirmed via Rotterdam criteria: oligomenorrhea/anovulation, hyperandrogenism, and polycystic ovaries.

Management

  • Investigate ferroptosis as a potential therapeutic strategy for managing ovulation in PCOS.

Monitoring & Follow-up

  • Monitor serum ferritin and hepcidin levels in pregnant women with PCOS.

Risks

  • Increased risk of miscarriage, preterm delivery, and gestational diabetes in women with PCOS.

Patient & Prescribing Data

Pregnant women aged 18-45 with singleton pregnancies and diagnosed with PCOS.

Potential for targeting ferroptosis in therapeutic approaches for PCOS-related complications.

Clinical Best Practices

  • Conduct thorough screening for PCOS in women presenting with reproductive issues.
  • Utilize biomarkers of iron metabolism for assessing risks in pregnant women with PCOS.
  • Incorporate multidisciplinary approaches for managing PCOS and associated pregnancy complications.

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