چکیده مقاله
This systematic review evaluates current evidence on preventive interventions aimed at reducing infertility among women diagnosed with polycystic ovary syndrome PCOS , endometriosis, uterine fibroids, and pelvic inflammatory disease PID A comprehensive literature search identified 15 studies, including randomized controlled trials and cohort studies, addressing lifestyle modifications, nutritional supplementation, pharmacological treatments, and surgical approaches Lifestyle interventions such as diet and exercise significantly improved ovulation rates and menstrual regularity in PCOS patients by mitigating insulin resistance and promoting hormonal balance Nutritional supplements including inositol and vitamin D showed beneficial effects on ovarian function In endometriosis, anti inflammatory diets and omega 3 fatty acid supplementation reduced inflammatory markers and enhanced natural conception rates, while NSAIDs effectively managed pain without directly improving fertility Surgical myomectomy and medical therapies, including GnRH agonists, demonstrated efficacy in reducing uterine fibroid burden and improving reproductive outcomes Vitamin D supplementation also emerged as a promising preventive strategy against fibroid progression Early administration of broad spectrum antibiotics in PID preserved tubal patency and prevented infertility Despite heterogeneity among studies, integrated approaches combining lifestyle, nutritional, pharmacological, and surgical interventions are vital for fertility preservation in these populations Further large scale randomized trials are warranted to establish standardized protocols These findings underscore the importance of personalized, multidisciplinary management to optimize reproductive health and quality of life in affected women
کلیدواژهها
نویسندگان
Sana Mahdian Rizi
Students Research Committee, Neyshabur University of Medical Sciences, Neyshabur, Iran
شیوه ارجاع
Mahdian Rizi, Sana,1404,Preventive Strategies for Infertility in Women with PCOS, Endometriosis, Uterine Fibroids, and PID: A Systematic Review of Evidence-Based and Integrative Approaches,16th International Conference on New Findings in Midwifery, Women, Maternity and Infertility
ارائهشده در
مجموعه مقالات شانزدهمین کنفرانس بین المللی یافته های نو در مامایی، زنان، زایمان و نازایی31 تیر 1404