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Clinical efficacy of acupuncture for diminished ovarian reserve: a systematic review and meta-analysis of randomized controlled trials

FRONTIERS IN ENDOCRINOLOGY (2023)

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Article Endocrinology & Metabolism

Progestin-Primed Ovarian Stimulation Versus Mild Stimulation Protocol in Advanced Age Women With Diminished Ovarian Reserve Undergoing Their First In Vitro Fertilization Cycle: A Retrospective Cohort Study

Xiaoyu Tu et al.

Summary: The progestin-primed ovarian stimulation (PPOS) protocol is an effective alternative for advanced age women with diminished ovarian reserve (DOR), providing comparable reproductive outcomes and better control of premature LH surge. It also allows for a higher number of retrieved oocytes and top-quality embryos, which are positively associated with cumulative clinical pregnancy rate and cumulative live birth rate.

FRONTIERS IN ENDOCRINOLOGY (2022)

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Article Health Care Sciences & Services

Clinical Efficacy of Assisted Reproductive Technology Combined with Progesterone Capsules in the Treatment of Infertility Caused by Diminished Ovarian Reserve and Its Influence on Serum FSH, E2, and LH Levels of Patients

Lingqin Chen et al.

Summary: This study investigated the clinical efficacy of assisted reproductive technology (ART) combined with progesterone capsules in treating infertility caused by diminished ovarian reserve (DOR). The results showed that this combination therapy led to improved ovarian function, follicular development, and serum hormone levels compared to the control group. The clinical pregnancy rate was significantly higher and the abortion rate was significantly lower in the experimental group. These findings suggest that ART combined with progesterone capsules can be beneficial for patients with DOR-related infertility.

JOURNAL OF HEALTHCARE ENGINEERING (2022)

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Article Cell Biology

Electroacupuncture May Inhibit Oxidative Stress of Premature Ovarian Failure Mice by Regulating Intestinal Microbiota

Zixiang Geng et al.

Summary: This study explored the effects of electroacupuncture (EA) on oxidative stress and intestinal microbiota in high-fat and high-sugar-induced premature ovarian failure (POF) mice. The results showed that EA effectively inhibited ovarian oxidative stress and accumulation of Fe2+ in POF mice, and also altered the intestinal microbiota composition. These findings suggest that EA may have clinical potential as a safe treatment for POF.

OXIDATIVE MEDICINE AND CELLULAR LONGEVITY (2022)

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Article Genetics & Heredity

Effects of acupuncture treatment on microRNAs expression in ovarian tissues from Tripterygium glycoside-induced diminished ovarian reserve rats

Ge Lu et al.

Summary: This study investigates the impact of acupuncture on miRNA profiling in ovarian tissues of DOR rats. The results suggest that acupuncture may alleviate DOR-induced oxidative stress through the downregulation of certain miRNAs, such as rno-miR-92b-3p, mdo-miR-26b-5p_R+1_1ss10TC, and bta-miR-7857-3p_R-1. The functional enrichment analysis also provides insights into the potential mechanisms involved, including positive regulation of transcription, signal transduction, and oxidation-reduction processes.

FRONTIERS IN GENETICS (2022)

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Article Integrative & Complementary Medicine

Effect of Electro-acupuncture on Expression of IRS-1/PI3K/GLUT4 Pathway in Ovarian Granulosa Cells of Infertile Patients with Polycystic Ovary Syndrome-Insulin Resistance of Phlegm-Dampness Syndrome

Shan Xiang et al.

Summary: The study showed that electro-acupuncture treatment can reduce phlegm-dampness syndrome score and insulin resistance score in PCOS-IR patients. There were no significant differences in the number of retrieved oocytes and clinical pregnancy rate between the two groups, but the transplantable embryo rate, high-quality embryo rate, and live birth rate were significantly higher in the EA group. Gene expression analysis indicated an upregulation of IRS-1, PI3K, and GLUT4 mRNA in ovarian granulosa cells of the EA group.

CHINESE JOURNAL OF INTEGRATIVE MEDICINE (2021)

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Article Medicine, Research & Experimental

Acupuncture regulates the autophagy of ovarian granulosa cells in polycystic ovarian syndrome ovulation disorder by inhibiting the PI3K/AKT/mTOR pathway through LncMEG3

Xiaohong Chen et al.

Summary: Acupuncture can improve ovulation dysfunction and abnormal follicular development in patients with polycystic ovary syndrome by down-regulating LncMEG3 expression, inhibiting the PI3K/AKT/mTOR pathway, reducing granulosa cell autophagy, and ultimately normalizing their proliferation, suggesting its clinical potential as a safe treatment for PCOS ovulatory dysfunction.

BIOMEDICINE & PHARMACOTHERAPY (2021)

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Article Obstetrics & Gynecology

Diminished ovarian reserve is associated with reduced euploid rates via preimplantation genetic testing for aneuploidy independently from age: evidence for concomitant reduction in oocyte quality with quantity

Eleni Greenwood Jaswa et al.

Summary: Women with diminished ovarian reserve have lower euploid blastocyst rates, but no significant difference in live birth rates after euploid single-embryo transfer, regardless of age.

FERTILITY AND STERILITY (2021)

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Article Medicine, General & Internal

Acupuncture for Poor Ovarian Response: A Randomized Controlled Trial

Jihyun Kim et al.

Summary: The study showed that network-optimized acupuncture followed by IVF treatment significantly increased the number of retrieved mature oocytes in women with poor ovarian response, especially in those aged over 37 years and undergoing multiple controlled ovarian hyperstimulation cycles. The negative correlation between the number of retrieved mature oocytes and consecutive controlled ovarian hyperstimulation cycles was not observed in the acupuncture + IVF group, suggesting that acupuncture may be considered as a beneficial treatment option for women facing poor ovarian response and advanced maternal age or multiple IVF cycles.

JOURNAL OF CLINICAL MEDICINE (2021)

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Review Endocrinology & Metabolism

Smoke, alcohol and drug addiction and female fertility

Cristina de Angelis et al.

REPRODUCTIVE BIOLOGY AND ENDOCRINOLOGY (2020)

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Review Integrative & Complementary Medicine

Acupuncture for in vitro fertilization in women with poor ovarian response: a systematic review

Soobin Jang et al.

INTEGRATIVE MEDICINE RESEARCH (2020)

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Article Obstetrics & Gynecology

Testing and interpreting measures of ovarian reserve: a committee opinion

Alan Penzias et al.

FERTILITY AND STERILITY (2020)

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Article Obstetrics & Gynecology

Natural history of ovarian function including assessment of ovarian reserve and premature ovarian failure

Raelia Lew

BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY (2019)

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Jonathan A. C. Sterne et al.

BMJ-BRITISH MEDICAL JOURNAL (2019)

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Ovarian damage from chemotherapy and current approaches to its protection

N. Spears et al.

HUMAN REPRODUCTION UPDATE (2019)

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Article Biochemistry & Molecular Biology

Acupuncture Reduces Apoptosis of Granulosa Cells in Rats with Premature Ovarian Failure Via Restoring the PI3K/Akt Signaling Pathway

Shiqi Wang et al.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2019)

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Article Medicine, Research & Experimental

Electro-acupuncture attenuates the mice premature ovarian failure via mediating PI3K/AKT/mTOR pathway

Han Zhang et al.

LIFE SCIENCES (2019)

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Review Genetics & Heredity

Reproductive ovarian testing and the alphabet soup of diagnoses: DOR, POI, POF, POR, and FOR

Lisa M. Pastore et al.

JOURNAL OF ASSISTED REPRODUCTION AND GENETICS (2018)

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Effects of acupuncture on the levels of serum estradiol and pituitary estrogen receptor beta in a rat model of induced super ovulation

Haiyang Fu et al.

LIFE SCIENCES (2018)

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Article Endocrinology & Metabolism

Pretreatment with coenzyme Q10 improves ovarian response and embryo quality in low-prognosis young women with decreased ovarian reserve: a randomized controlled trial

Yangying Xu et al.

REPRODUCTIVE BIOLOGY AND ENDOCRINOLOGY (2018)

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A Literature Review of Women's Sex Hormone Changes by Acupuncture Treatment: Analysis of Human and Animal Studies

Jade Heejae Ko et al.

EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE (2018)

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Association Between Biomarkers of Ovarian Reserve and Infertility Among Older Women of Reproductive Age

Anne Z. Steiner et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2017)

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Use of electroacupuncture and transcutaneous electrical acupoint stimulation in reproductive medicine: a group consensus

Fan Qu et al.

JOURNAL OF ZHEJIANG UNIVERSITY-SCIENCE B (2017)

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Ovarian reserve following cesarean section with salpingectomy vs tubal ligation: a randomized trial

Hadas Ganer Herman et al.

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY (2017)

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Alcohol, cigarette smoking, and ovarian reserve in reproductive-age African-American women

Leah Hawkins Bressler et al.

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY (2016)

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Effect of surgery on ovarian reserve in women with endometriomas, endometriosis and controls

Linnea R. Goodman et al.

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY (2016)

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Editorial Material Medicine, General & Internal

Pragmatic Trials Practical Answers to Real World Questions

Harold C. Sox et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2016)

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Diminished ovarian reserve in the United States assisted reproductive technology population: diagnostic trends among 181,536 cycles from the Society for Assisted Reproductive Technology Clinic Outcomes Reporting System

Kate Devine et al.

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Article Medicine, General & Internal

Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement

David Moher et al.

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