Evidence mapPaperPMID 40995278Full record

ReviewCureus2025

Metabolic Dysregulation and Female Infertility: A Systematic Review of Hormonal and Reproductive Outcomes From Recent Clinical Trials.

Nimrah Ashraf, Asma Qayyum, Rabia Bashir, Sara Zubair Ahmed, Misbah Shafiq, Munaza Batool, Muhammad Sahil, Mariam N Kakar

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nimrah AshrafObstetrics and Gynaecology, Gweru Provincial Hospital, Gweru, ZWE.
Asma QayyumObstetrics and Gynaecology, Bukayriyah General Hospital, Al Bukayriyah, SAU.
Rabia BashirObstetrics and Gynaecology, Burjeel Specialty Hospital, Sharjah, ARE.
Sara Zubair AhmedInternal Medicine, Baqai Medical University, Karachi, PAK.
Misbah ShafiqInternal Medicine, Shahida Islam Medical Complex, Lodhran, PAK.
Munaza BatoolInternal Medicine, Rawalpindi Medical University, Rawalpindi, PAK.
Muhammad SahilInternal Medicine, Mayo Hospital, Lahore, PAK.
Mariam N KakarObstetrics and Gynaecology, Bolan University of Medical & Health Sciences, Quetta, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review explores the influence of metabolic and immunological interventions on hormonal and fertility outcomes in infertile women with metabolic disorders such as polycystic ovary syndrome (PCOS), insulin resistance, obesity, and metabolic syndrome. The review synthesizes findings from rigorously selected randomized and crossover trials published between 2015 and 2024, focusing on interventional approaches aimed at improving reproductive and endocrine parameters. Studies were screened and assessed using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, and relevant outcomes included ovulation, oocyte quality, pregnancy rates, and changes in hormonal markers, such as insulin, luteinizing hormone (LH), follicle-stimulating hormone (FSH), and estradiol. The analysis reveals that metabolic dysregulation significantly alters reproductive outcomes and that targeted interventions, ranging from pharmacological agents and dietary modifications to experimentally induced metabolic states, can have measurable effects on hormonal profiles and fertility. While some interventions demonstrated clear improvements in ovulatory and metabolic markers, others primarily highlighted associations rather than causality. Despite variations in sample sizes and methodological designs, the review underscores the need for integrated therapeutic strategies addressing both metabolic and hormonal dysfunction in this population. The findings support a multifaceted approach to managing infertility in women with metabolic disturbances, emphasizing the potential for tailored interventions to optimize both endocrine and reproductive health.

Indexed as

hormonal imbalanceinfertilityinsulin resistanceintervention strategiesmetabolic syndromepcosreproductive outcomeswomen's health

Identifiers

PMID40995278
PMCPMC12456941

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.