Natural hormone replacement therapy with a functioning ovary after the menopause: dream or reality?

被引:18
作者
Donnez, Jacques [1 ]
Dolmans, Marie-Madeleine [2 ,3 ]
机构
[1] Soc Rech Infertilite, Ave Grandchamp 143, B-1150 Brussels, Belgium
[2] Catholic Univ Louvain, IREC, Pole Gynecol, Brussels, Belgium
[3] Clin Univ St Luc, Dept Gynecol, Ave Hippocrate 10, B-1200 Brussels, Belgium
关键词
Hormone replacement therapy; Menopause; Ovarian tissue reimplantation; Ovary; WOMENS HEALTH; POSTPONE MENOPAUSE; FERTILITY PRESERVATION; BILATERAL OOPHORECTOMY; TISSUE-TRANSPLANTATION; PREGNANCY; AGE; ONSET;
D O I
10.1016/j.rbmo.2018.05.018
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
At the dawn of humanity, it was rare to live beyond the age of 35 years, so the ovary was intended to function for a woman's entire life. Nowadays, it is not unusual for women to live into their 80s. This means that many of them spend 30-40% of their lives in the menopause at increased risk of various conditions associated with an absence of oestrogens (cardiovascular disease, bone mineral density loss). Reimplantation of frozen-thawed ovarian tissue is able to restore long-term ovarian endocrine function that can persist for more than 7 years (12 years if the procedure is repeated). If ovarian tissue reimplantation is capable of restoring ovarian activity after menopause induced by chemotherapy, radiotherapy, surgery, or a combination of all three, why not propose it to recover sex steroid secretion after natural menopause and prevent menopause-related conditions in the ageing population? In this application, the graft site could be outside the pelvic cavity, e.g., forearm or rectus muscle. Could ovarian tissue freezing at a young age followed by reimplantation upon reaching menopause be the anti-ageing therapy of the future? Sufficient existing evidence now surely merits serious debate.
引用
收藏
页码:359 / 366
页数:8
相关论文
共 37 条
[1]  
AMUNDSEN DW, 1970, HUM BIOL, V42, P79
[2]  
AMUNDSEN DW, 1973, HUM BIOL, V45, P605
[3]   Response: transplantation of ovarian tissue to postpone menopause - is it really more advantageous for women's health than menopause hormone therapy? [J].
Andersen, Claus Yding ;
Kristensen, Stine Gry .
REPRODUCTIVE BIOMEDICINE ONLINE, 2015, 31 (06) :828-828
[4]   Novel use of the ovarian follicular pool to postpone menopause and delay osteoporosis [J].
Andersen, Claus Yding ;
Kristensen, Stine Gry .
REPRODUCTIVE BIOMEDICINE ONLINE, 2015, 31 (02) :128-131
[5]   Is unilateral oophorectomy associated with age at menopause? A population study (the HUNT2 Survey) [J].
Bjelland, E. K. ;
Wilkosz, P. ;
Tanbo, T. G. ;
Eskild, A. .
HUMAN REPRODUCTION, 2014, 29 (04) :835-841
[6]   Long-term ovarian function evaluation after autografting by implantation with fresh and frozen-thawed human ovarian tissue [J].
Callejo, J ;
Salvador, C ;
Miralles, A ;
Vilaseca, S ;
Lailla, JM ;
Balasch, J .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2001, 86 (09) :4489-4494
[7]   Heterotopic ovarian transplantation results in less apoptosis than orthotopic transplantation in a minipig model [J].
Damasio, Lia Cruz V. C. ;
Soares-Junior, Jose Maria ;
Iavelberg, Jairo ;
Maciel, Gustavo A. R. ;
Simoes, Manuel de Jesus ;
Simoes, Ricardo dos Santos ;
da Motta, Eduardo Vieira ;
Pinheiro Baracat, Maria Candida ;
Baracat, Edmund C. .
JOURNAL OF OVARIAN RESEARCH, 2016, 9
[8]   Orthotopic and heterotopic ovarian tissue transplantation [J].
Demeestere, I. ;
Simon, P. ;
Emiliani, S. ;
Delbaere, A. ;
Englert, Y. .
HUMAN REPRODUCTION UPDATE, 2009, 15 (06) :649-665
[9]   Fertility Preservation in Women [J].
Donnez, Jacques ;
Dolmans, Marie-Madeleine .
NEW ENGLAND JOURNAL OF MEDICINE, 2017, 377 (17) :1657-1665
[10]   The ovary: from conception to death [J].
Donnez, Jacques ;
Dolmans, Marie-Madeleine .
FERTILITY AND STERILITY, 2017, 108 (04) :594-595