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Astaxanthin as a potential therapeutic agent in polycystic ovary syndrome: a review of its antioxidant, anti-inflammatory, and metabolic mechanisms

Wang J, Yang Y, Wang Z, Liu C, Han Y, Wu X, Chang H

Frontiers in reproductive health, 2026

Abstract

Polycystic ovary syndrome (PCOS) is the most common heterogeneous disorder among women of reproductive age, characterized by hyperandrogenism, ovulatory dysfunction, and polycystic ovarian morphological changes as its core clinical features. This disease severely affects women's reproductive health and significantly increases the risk of metabolic complications. The pathogenesis of PCOS is complex, involving various pathophysiological mechanisms such as oxidative stress, chronic low-grade inflammation, and insulin resistance. Currently, lifestyle interventions and first-line pharmacological treatments are the primary clinical strategies for managing PCOS. However, existing approaches face numerous limitations in terms of efficacy, safety, and patient compliance, including incomplete therapeutic effects, drug-related side effects, poor adherence, and a lack of long-term safety data, which necessitate further optimization and breakthroughs. Natural compounds have been widely utilized as therapeutic agents worldwide, with some showing potential advantages in preclinical and pharmacological studies, positioning them as potential alternatives to modern drugs. In recent years, astaxanthin, a natural compound, has garnered attention for its auxiliary effects in the treatment of PCOS due to its potent antioxidant and anti-inflammatory properties. Astaxanthin, a strong natural antioxidant derived from Haematococcus pluvialis, exhibits significant antioxidant, anti-inflammatory,…

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