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Challenges in Diagnosis and Treatment of Infertility—2nd Edition

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Reproductive Medicine & Andrology".

Deadline for manuscript submissions: 27 January 2026 | Viewed by 3020

Special Issue Editor


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Guest Editor
Assisted Reproduction Unit, Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Ioannina, 45500 Ioannina, Greece
Interests: research and practice in gynecology endocrinology and medical assisted reproduction
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Special Issue Information

Dear Colleagues,

This Special Issue is the second edition of “Challenges in Diagnosis and Treatment of Infertility” (https://www.mdpi.com/journal/jcm/special_issues/233D25OURQ).

The diagnosis and treatment of infertility are challenging due to issues related to the precision required to address individual medical needs and personalized assisted reproduction applications. Age-related or gamete-depletion-related subfertility raises concerns about best practice modalities to warrant early diagnoses and prompt treatments to avoid further fertility loss or a significant reduction in patients’ chances to conceive. Lately, technical advances in preimplantation diagnostic approaches, especially via the introduction of NGS, have offered novel insights into the genetic makeup of preimplantation embryos and even the clinical exploitation of mosaic embryos. Additionally, the treatment outcomes of cell therapies and growth factors showed significant improvements in the regeneration of ovaries and the uterus following the advent of PRP therapy. Furthermore, in all cases, technological innovations such as minimally invasive or non-invasive preimplantation genetic diagnosis improved the prognosis of ART and the prospects for a wider application. It is thus important to closely monitor progress in the evaluation and treatment protocol for fertility. This Special Issue of the Journal of Clinical Medicine focuses on the recent clinical advances in fertility preservation diagnosis and treatment, as well as the improvement of prospects for the conception of and reduction in the time to pregnancy.

Prof. Dr. Konstantinos A. Zikopoulos
Guest Editor

Manuscript Submission Information

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Keywords

  • fertility
  • regeneration
  • age-related infertility
  • preimplantation diagnosis
  • precision assessment
  • individualized fertility needs
  • clinical diagnosis
  • in vitro fertilization

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Published Papers (1 paper)

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Review

16 pages, 1309 KB  
Review
Premature Ovarian Insufficiency and Diminished Ovarian Reserve: From Diagnosis to Current Management and Treatment
by Lara Houeis, Jacques Donnez and Marie-Madeleine Dolmans
J. Clin. Med. 2025, 14(21), 7473; https://doi.org/10.3390/jcm14217473 - 22 Oct 2025
Viewed by 821
Abstract
Premature ovarian insufficiency (POI) and diminished ovarian reserve (DOR) are two related conditions characterized by a reduced ovarian reserve. Their etiologies are multifactorial, encompassing iatrogenic causes such as chemotherapy, pelvic surgery, or radiotherapy, as well as non-iatrogenic factors including genetic and chromosomal abnormalities, [...] Read more.
Premature ovarian insufficiency (POI) and diminished ovarian reserve (DOR) are two related conditions characterized by a reduced ovarian reserve. Their etiologies are multifactorial, encompassing iatrogenic causes such as chemotherapy, pelvic surgery, or radiotherapy, as well as non-iatrogenic factors including genetic and chromosomal abnormalities, environmental exposures, autoimmune mechanisms and idiopathic sources. Early recognition of these conditions is essential, as timely and appropriate management can significantly impact both reproductive potential and long-term health. In women with POI, hormone replacement therapy is required to prevent the detrimental effects of estrogen deficiency on wellbeing and overall health, while in women with DOR, management focuses on counseling, fertility preservation when pregnancy is not an immediate goal, and strategies to optimize assisted reproductive outcomes when conception is desired. In addition, emerging research into ovarian rejuvenation offers promising new avenues for future therapeutic approaches. This review summarizes current knowledge on the pathophysiology, diagnosis, and management of POI and DOR, while highlighting innovative developments in reproductive medicine. Full article
(This article belongs to the Special Issue Challenges in Diagnosis and Treatment of Infertility—2nd Edition)
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