PMID- 33429918 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210218 IS - 1424-8247 (Print) IS - 1424-8247 (Electronic) IS - 1424-8247 (Linking) VI - 14 IP - 1 DP - 2021 Jan 8 TI - Improvement Effect of Metformin on Female and Male Reproduction in Endocrine Pathologies and Its Mechanisms. LID - 10.3390/ph14010042 [doi] LID - 42 AB - Metformin (MF), a first-line drug to treat type 2 diabetes mellitus (T2DM), alone and in combination with other drugs, restores the ovarian function in women with polycystic ovary syndrome (PCOS) and improves fetal development, pregnancy outcomes and offspring health in gestational diabetes mellitus (GDM) and T2DM. MF treatment is demonstrated to improve the efficiency of in vitro fertilization and is considered a supplementary drug in assisted reproductive technologies. MF administration shows positive effect on steroidogenesis and spermatogenesis in men with metabolic disorders, thus MF treatment indicates prospective use for improvement of male reproductive functions and fertility. MF lacks teratogenic effects and has positive health effect in newborns. The review is focused on use of MF therapy for restoration of female and male reproductive functions and improvement of pregnancy outcomes in metabolic and endocrine disorders. The mechanisms of MF action are discussed, including normalization of metabolic and hormonal status in PCOS, GDM, T2DM and metabolic syndrome and restoration of functional activity and hormonal regulation of the gonadal axis. FAU - Shpakov, Alexander O AU - Shpakov AO AD - I.M. Sechenov Institute of Evolutionary Physiology and Biochemistry of Russian Academy of Sciences, 194223 Saint Petersburg, Russia. LA - eng GR - 19-75-20122/Russian Science Foundation/ PT - Journal Article PT - Review DEP - 20210108 PL - Switzerland TA - Pharmaceuticals (Basel) JT - Pharmaceuticals (Basel, Switzerland) JID - 101238453 PMC - PMC7826885 OTO - NOTNLM OT - diabetes mellitus OT - folliculogenesis OT - gestational diabetes mellitus OT - gonadotropin OT - in vitro fertilization OT - insulin OT - metformin OT - ovary OT - polycystic ovary syndrome OT - steroidogenesis OT - testes COIS- The author declares no conflict of interest. EDAT- 2021/01/13 06:00 MHDA- 2021/01/13 06:01 PMCR- 2021/01/08 CRDT- 2021/01/12 01:15 PHST- 2020/11/11 00:00 [received] PHST- 2021/01/02 00:00 [revised] PHST- 2021/01/06 00:00 [accepted] PHST- 2021/01/12 01:15 [entrez] PHST- 2021/01/13 06:00 [pubmed] PHST- 2021/01/13 06:01 [medline] PHST- 2021/01/08 00:00 [pmc-release] AID - ph14010042 [pii] AID - pharmaceuticals-14-00042 [pii] AID - 10.3390/ph14010042 [doi] PST - epublish SO - Pharmaceuticals (Basel). 2021 Jan 8;14(1):42. doi: 10.3390/ph14010042.