articleScienceFeb 5, 2026Closed access

Antifibrotic drug finerenone restores fertility in premature ovarian insufficiency

University of Hong Kong - Shenzhen Hospital · University of Hong Kong · +4 more institutions

PubMed
Indexed incrossrefpubmed

Abstract

Currently, no effective treatment exists for infertility associated with premature ovarian insufficiency (POI) because affected patients lack hormone-responsive antral follicles. By screening a Food and Drug Administration (FDA)-approved drug library, we identified finerenone, a kidney disease medication, as a promising drug for restoring fertility in POI. Finerenone stimulated follicle development in aged mice and restored antral follicle development in patients with POI following oral administration, resulting in mature oocytes and embryos. Mechanistically, finerenone reduced fibrotic deposition in the ovarian stroma, alleviating collagen-mediated suppression of follicular development. Building on this…

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