期刊
FRONTIERS IN NEUROENDOCRINOLOGY
卷 60, 期 -, 页码 -出版社
ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.yfrne.2020.100889
关键词
Multiple sclerosis; Estrogens; Pregnancy; Oral contraceptive; Assisted reproductive technique
This review reports the effects of the physiological and iatmgenic hormonal changes on immune, clinical, or paraclinical features in women affected by Multiple Sclerosis at different life stages.
Background: Multiple Sclerosis is a multifactorial chronic autoimmune disease, affecting predominantly females in the fertile age. Sex hormones changes during a woman's life, from puberty to menopause, including pregnancy and puerperium, may influence the onset and course of Multiple Sclerosis. The effect of estrogen levels on immune, clinical and radiological aspects of Multiple Sclerosis, also stimulated investigation on the effect of sexual hormones therapies, such as oral contraceptives and assisted reproductive technique, on the Multiple Sclerosis course. Search strategy and selection criteria: A literature search for original articles and reviews was conducted in the databases, including PubMed, Scopus, and ClinicalTrials.gov of the U.S. National Library of Medicine site from 1988 to 2020. Results and conclusion: This review reports the effects of the physiological and iatmgenic hormonal changes either on immune or clinical or paraclinical features in the different life stages of women affected by Multiple Sclerosis.
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