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Updated: Aug 30, 2026

Fertility Preservation in Patients with Severe Ovarian Dysfunction
Published on: March 25, 2021
Impaired fertility caused by endocrine dysfunction in women
1Division of Reproductive Endocrinology, Department of Obstetrics, University of Pittsburgh School of Medicine, Magee-Women's Hospital, 300 Halket Street, Pittsburgh, PA 15213, USA. bkalro@mail.magee.edu
Abstract:
Infertility can be frustrating for patients and physicians. Endocrine dysfunction can impair fertility and alter pregnancy outcome. Once the diagnosis is secured, most endocrine disorders are reversible or can be adequately managed to restore fertility and decrease associated pregnancy complications. Improved understanding of the subtleties and intricacies of mechanisms by which endocrinopathies can hinder fertility and influence the course of a pregnancy is vital, more so in the era of assisted reproductive technology, because pregnancy in an abnormal endocrine environment can be disastrous. The role of autoimmunity in infertility and pregnancy loss is less clear; in this context, there are limited management options to improve fertility and overall pregnancy outcomes.
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