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This combination therapy involves the co-administration of melatonin, a potent antioxidant and circadian regulator, and dehydroepiandrosterone (DHEA), an endogenous steroid precursor. It is primarily investigated for improving clinical outcomes in women with diminished ovarian reserve (DOR) or polycystic ovary syndrome (PCOS) undergoing assisted reproductive technologies (ART). DHEA is thought to enhance the follicular microenvironment and increase the number of recruitable follicles by acting as a precursor for follicular androgens, which promote early-stage follicular growth. Melatonin acts as an antioxidant within the follicular fluid, protecting oocytes from oxidative stress and potentially improving oocyte maturation and embryo quality. Research led by institutions like Xiangya First Hospital of Central South University has explored this combination to optimize IVF/ICSI outcomes, focusing on its ability to improve the number of retrieved oocytes and pregnancy rates.
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