Materiały źródłowe

• #1 PCOS (Polycystic Ovary Syndrome): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/8316-polycystic-ovary-syndrome-pcos

  Theres no proven way to prevent PCOS, but you can take small steps to reduce your symptoms. For example, eating nutritious foods, exercising regularly and managing a healthy weight for your body can help you avoid the effects of PCOS.

• #2 Polycystic Ovary Syndrome: Etiology, Current Management, and Future Therapeutics

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9964744/

  Polycystic ovary syndrome (PCOS) is a complex endocrine and metabolic disorder, typically characterized by anovulation, infertility, obesity, insulin resistance, and polycystic ovaries. […] The restoration of gut microbiota by probiotics, prebiotics, or a fecal microbiota transplant (FMT) might serve as an innovative, efficient, and noninvasive way to prevent and mitigate PCOS. […] Lifestyle changes are the primary line of treatment for women with PCOS, but they are not an alternative to pharmacological treatments. Regular physical exercise, maintaining a healthy body weight, adhering to healthy dietary habits, and abstaining from tobacco use are all important in the prevention and treatment of metabolic diseases, and are recommended in clinical guidelines for a variety of ailments. […] High-calorie diets and sedentary lifestyles might be possible causes of exacerbating PCOS.

• #3 PCOS Prevention – Klarity Health Library

  https://my.klarity.health/pcos-prevention/

  There is no known way to prevent PCOS. […] Currently, the best way to prevent PCOS is to minimise its risk factors and manage symptoms. […] If you have a known family history of PCOS and are at higher risk, it is advised to adopt a healthier lifestyle to help lower the risks for PCOS. […] Women with obesity and diabetes were found to be associated with having a higher risk for PCOS. […] Exposure to endocrine disruptors can affect metabolic and reproductive functions, which may lead to the development of PCOS. […] Lifestyle modification remains the first-line treatment for most patients, and in the case where medication is required, make sure to get advice from your healthcare provider.

• #4 Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome (2023) – practice guidance | American Society for Reproductive Medicine | ASRM

  https://www.asrm.org/practice-guidance/practice-committee-documents/recommendations-from-the-2023-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome/

  Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome (2023) […] The aim is to support women and their healthcare providers to optimize diagnosis, assessment and management of PCOS. […] There is an emphasis on improved education and awareness of healthcare professionals, partnership in care, and empowerment of women with PCOS. […] With effective translation, the Guideline will address priorities identified by women with PCOS, upskill healthcare professionals, empower consumers, improve care and outcomes, identify key research gaps, and promote vital future research. […] All women with PCOS should be assessed for cardiovascular disease risk factors. […] All women with PCOS, regardless of age and BMI, should have a lipid profile (cholesterol, low density lipoprotein cholesterol, high density lipoprotein cholesterol and triglyceride level) at diagnosis.

• #5 Polycystic Ovary Syndrome | Center for Women’s Health | OHSU

  https://www.ohsu.edu/womens-health/polycystic-ovary-syndrome

  Polycystic ovary syndrome (PCOS) is a condition that causes your ovaries to produce excessive amounts of androgens (male sex hormones). Your ovaries become enlarged and contain many small cysts. Many PCOS patients are also obese. Symptoms of PCOS include: […] Early diagnosis and treatment of POS is important. It can help decrease some of your symptoms and reduce your risk for certain diseases and disorders down the line. […] If you have had irregular menstrual periods and/or progressive hirsutism (excess hair growth on face and body) since puberty, you should be evaluated for PCOS. There is a genetic tendency to inherit this syndrome. Early treatment of PCOS may decrease the development of acne and hirsutism. […] Women with PCOS, particularly those with insulin resistance, may be at an increased risk for diabetes, heart disease, cholesterol abnormalities and endometrial cancer. If you are diagnosed with PCOS, you and your doctor should discuss the long-term health consequences. You should also discuss any additional testing that should be done.

• #6 Diagnosing and treating PCOS | Jean Hailes

  https://www.jeanhailes.org.au/health-a-z/polycystic-ovary-syndrome/diagnosing-and-treating-pcos

  An early diagnosis and support from a team of specialists can help manage the symptoms of PCOS and reduce the risk of long-term health problems. […] Depending on your situation, you might need different treatments to manage PCOS symptoms. Diet and lifestyle changes can also help. Your doctor can help coordinate your care and refer you to specialists where needed. […] A healthy lifestyle is the most effective approach to managing PCOS symptoms, including irregular periods. A healthy lifestyle includes eating a balanced diet, maintaining a healthy weight, being as active as possible and reducing or stopping harmful habits such as smoking and excessive drinking. […] Weight loss helps your ovaries to function better and may result in normal hormone production, which will improve symptoms.

• #7 Polycystic Ovarian Syndrome – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK459251/

  Lifestyle modifications are the primary and most effective management approach for PCOS treatment. Fertility is likely to return with a modest weight loss of about 5%, which can be achieved through a low-calorie diet that also improves ovarian structure. Lifestyle interventions, eg, exercise alone or a combination of diet, exercise, and behavioral strategies, should be recommended for all women with PCOS to reduce their metabolic dysfunction. Improved metabolic health in these patients can be monitored through observing reductions in central body fat and lipid profile normalization. […] […] As the understanding of PCOS shifts towards viewing it as primarily a metabolic disorder being a primarily metabolic disease evolves, metformin and other insulin-sensitizers and their therapeutic utility have taken center stage. Meformin also improves menstrual cycles, abnormal waist-to-hip ratio, and vascular markers in nonobese women with PCOS. […]

• #8 Diagnosis and Treatment of Polycystic Ovary Syndrome | AAFP

  https://www.aafp.org/pubs/afp/issues/2016/0715/p106.html

  Polycystic ovary syndrome (PCOS) is associated with multiple metabolic defects, including metabolic syndrome. […] Given the conditions associated with PCOS, the Endocrine Society, the Androgen Excess and PCOS Society, and the American College of Obstetricians and Gynecologists recommend that clinicians evaluate patients’ blood pressure at every visit and lipid levels at the time of diagnosis, and screen for type 2 diabetes with a two-hour oral glucose tolerance test regardless of a patient’s body mass index. […] A calorie-restricted diet is recommended for all patients with PCOS who are overweight. Weight loss has been shown to have a positive effect on fertility and metabolic profile. […] Lifestyle modification and weight reduction reduce insulin resistance and can significantly improve ovulation. Therefore, lifestyle modification is first-line therapy for women who are overweight.

• #9 Polycystic Ovarian Syndrome Treatment & Management: Approach Considerations, Lifestyle Modifications, Drug Treatment

  https://emedicine.medscape.com/article/256806-treatment

  Certain lifestyle changes, such as diet and exercise, are considered first-line treatment for adolescent girls and women with polycystic ovarian syndrome (PCOS). […] The American College of Obstetricians and Gynecologists (ACOG) and the Society of Obstetricians and Gynaecologists of Canada (SOGC) indicate that lifestyle modifications such as weight loss and increased exercise in conjunction with a change in diet consistently reduce the risk of diabetes. This approach has been found to be comparable to or better than treatment with medication and should therefore be considered first-line treatment in managing women with polycystic ovarian syndrome (PCOS). […] In patients with polycystic ovarian syndrome (PCOS) who are obese, endocrine-metabolic parameters markedly improve after 4-12 weeks of dietary restriction.

• #10

  https://www.nhs.uk/conditions/polycystic-ovary-syndrome-pcos/treatment/

  Polycystic ovary syndrome (PCOS) cannot be cured, but the symptoms can be managed. […] In overweight women, the symptoms and overall risk of developing long-term health problems from PCOS can be greatly improved by losing excess weight. […] Weight loss of just 5% can lead to a significant improvement in PCOS. […] If you’re overweight or obese, you can lower your risk by losing weight before trying for a baby.

• #11 Diagnosis and Treatment of Polycystic Ovary Syndrome | AAFP

  https://www.aafp.org/pubs/afp/issues/2016/0715/p106.html

  Polycystic ovary syndrome (PCOS) is associated with multiple metabolic defects, including metabolic syndrome. […] Given the conditions associated with PCOS, the Endocrine Society, the Androgen Excess and PCOS Society, and the American College of Obstetricians and Gynecologists recommend that clinicians evaluate patients’ blood pressure at every visit and lipid levels at the time of diagnosis, and screen for type 2 diabetes with a two-hour oral glucose tolerance test regardless of a patient’s body mass index. […] A calorie-restricted diet is recommended for all patients with PCOS who are overweight. Weight loss has been shown to have a positive effect on fertility and metabolic profile. […] Lifestyle modification and weight reduction reduce insulin resistance and can significantly improve ovulation. Therefore, lifestyle modification is first-line therapy for women who are overweight.

• #12 Diagnosing and treating PCOS | Jean Hailes

  https://www.jeanhailes.org.au/health-a-z/polycystic-ovary-syndrome/diagnosing-and-treating-pcos

  Research studies have shown that a weight reduction of 5% to 10% can: reduce insulin resistance by about 50%, restore ovulation, regulate menstrual cycles, improve fertility, reduce pregnancy complications, improve the health of mother and child during pregnancy, improve emotional health (self-esteem, anxiety, depression), reduce the risk of developing diabetes and heart disease. […] Symptoms of PCOS, such as excess hair growth and acne, can make you feel self-conscious, reduce your self-esteem and affect your body image and mood. […] Having a healthy lifestyle (a balanced diet and physical activity) is an effective way to improve your mood and reduce negative feelings. […] More than 70% of women with PCOS in Australia use natural therapies to improve their symptoms and general wellbeing.

• #13 Polycystic ovary syndrome (PCOS) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/pcos/diagnosis-treatment/drc-20353443

  To help ease the effects of PCOS, try to: […] Stay at a healthy weight. Weight loss can lower insulin and androgen levels. It also may restore ovulation. Ask your health care provider about a weight-control program, if you need one. Meet with a registered dietitian for help in reaching weight-loss goals. […] Limit carbohydrates. High-carbohydrate diets might make insulin levels go higher. Ask your provider if a low-carbohydrate diet could help if you have PCOS. Choose complex carbohydrates, which raise your blood sugar levels more slowly. Complex carbohydrates are found in fruits, vegetables, whole grains and cooked dry beans and peas. […] Be active. Exercise helps lower blood sugar levels. If you have PCOS, increasing your daily activity and getting regular exercise may treat or even prevent insulin resistance. Being active may also help you keep your weight under control and avoid developing diabetes.

• #14 Diagnosing and treating PCOS | Jean Hailes

  https://www.jeanhailes.org.au/health-a-z/polycystic-ovary-syndrome/diagnosing-and-treating-pcos

  Research studies have shown that a weight reduction of 5% to 10% can: reduce insulin resistance by about 50%, restore ovulation, regulate menstrual cycles, improve fertility, reduce pregnancy complications, improve the health of mother and child during pregnancy, improve emotional health (self-esteem, anxiety, depression), reduce the risk of developing diabetes and heart disease. […] Symptoms of PCOS, such as excess hair growth and acne, can make you feel self-conscious, reduce your self-esteem and affect your body image and mood. […] Having a healthy lifestyle (a balanced diet and physical activity) is an effective way to improve your mood and reduce negative feelings. […] More than 70% of women with PCOS in Australia use natural therapies to improve their symptoms and general wellbeing.

• #15 Polycystic ovary syndrome

  https://womenshealth.gov/a-z-topics/polycystic-ovary-syndrome

  You can take steps at home to help your PCOS symptoms, including: […] Losing weight. Healthy eating habits and regular physical activity can help relieve PCOS-related symptoms. Losing weight may help to lower your blood glucose levels, improve the way your body uses insulin, and help your hormones reach normal levels. Even a 10% loss in body weight (for example, a 150-pound woman losing 15 pounds) can help make your menstrual cycle more regular and improve your chances of getting pregnant. […] Reaching a healthy weight before you get pregnant. Use this interactive tool to see your healthy weight before pregnancy and what to gain during pregnancy. […] Reaching healthy blood sugar levels before you get pregnant. You can do this through a combination of healthy eating habits, regular physical activity, weight loss, and medicines such as metformin.

• #16

  https://www.nhs.uk/conditions/polycystic-ovary-syndrome-pcos/treatment/

  Polycystic ovary syndrome (PCOS) cannot be cured, but the symptoms can be managed. […] In overweight women, the symptoms and overall risk of developing long-term health problems from PCOS can be greatly improved by losing excess weight. […] Weight loss of just 5% can lead to a significant improvement in PCOS. […] If you’re overweight or obese, you can lower your risk by losing weight before trying for a baby.

• #17

  https://www2.hse.ie/conditions/polycystic-ovary-syndrome/treatment/

  Lifestyle changes can make big improvements to your symptoms and long-term health outcomes. […] If you have overweight, losing weight can help improve your PCOS symptoms. […] Eating low glycaemic index (GI) foods may also help your PCOS. Low GI foods are absorbed by your body more slowly. This means your blood sugar stays stable. […] If you have overweight or obesity, you can lower your risk by losing weight before trying for a baby.

• #18 Polycystic ovary syndrome (PCOS) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/pcos/diagnosis-treatment/drc-20353443

  To help ease the effects of PCOS, try to: […] Stay at a healthy weight. Weight loss can lower insulin and androgen levels. It also may restore ovulation. Ask your health care provider about a weight-control program, if you need one. Meet with a registered dietitian for help in reaching weight-loss goals. […] Limit carbohydrates. High-carbohydrate diets might make insulin levels go higher. Ask your provider if a low-carbohydrate diet could help if you have PCOS. Choose complex carbohydrates, which raise your blood sugar levels more slowly. Complex carbohydrates are found in fruits, vegetables, whole grains and cooked dry beans and peas. […] Be active. Exercise helps lower blood sugar levels. If you have PCOS, increasing your daily activity and getting regular exercise may treat or even prevent insulin resistance. Being active may also help you keep your weight under control and avoid developing diabetes.

• #19 Polycystic Ovary Syndrome: Etiology, Current Management, and Future Therapeutics

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9964744/

  Therefore, a KD may yield even better benefits than a diet with an LGI in PCOS patients who have severe obesity and/or obesity coupled with full-blown metabolic syndrome; however, a general conclusion may be drawn that, by adhering to the fundamentals of a healthy diet, physiological homeostasis can be regulated and faster disease recovery can be accomplished. […] Women with PCOS who lose excess weight through alterations in their lifestyles experience regulated menstruation and improved reproductive outcomes. […] Probiotics (living microorganisms), prebiotics (sources of food for beneficial gut bacteria), synbiotics, and more recent therapies including FMTs are among the treatment possibilities for the altered gut microbiome that causes PCOS. […] Probiotic supplementation (L. acidophilus, L. casei, and B. bifidum) for 12 weeks led to a statistically significant reduction in weight and BMI in PCOS patients compared to the placebo, with positive effects on glycemia, TGs, and VLDL-C.

• #20 How Polycystic Ovary Syndrome (PCOS) Is Treated

  https://www.verywellhealth.com/pcos-treatment-2616586

  Weight loss is challenging when you have PCOS, which can be quite frustrating. It may help to focus on the fact that losing as little as 5% of your body weight can improve your condition. A 10% loss can help improve your chances of becoming pregnant. […] A healthy diet is important in PCOS, even if you are at a normal weight. Enjoy limited fruits (too many may negatively affect insulin resistance due to high fructose levels) and plenty of vegetables, moderate amounts of high-fiber, unprocessed, low-glycemic index grains (such as oats and quinoa), and foods rich in omega-3 fats such as fish (salmon, mackerel, sardines), nuts, seeds, and avocados. […] No matter your weight, being sedentary can further raise your risk of metabolic syndrome and type 2 diabetes. […] By increasing the body’s response to insulin, it is thought that the ovary may not make as many androgens, which increases the likelihood that ovulation will occur. Metformin may also reduce the levels of circulating androgens. This will help regulate your menstrual cycle and may help you lose weight. […] Losing weight can also help accomplish this. In some people, moderate weight loss can help restore ovulation and greatly increase your odds of pregnancy.

• #21 Lifestyle Changes for Polycystic Ovary Syndrome | NYU Langone Health

  https://nyulangone.org/conditions/polycystic-ovary-syndrome/treatments/lifestyle-changes-for-polycystic-ovary-syndrome

  NYU Langone doctors often recommend making lifestyle changes to manage the symptoms of polycystic ovary syndrome (PCOS) and prevent complications. […] To lower blood sugar, your doctor may recommend eating a diet low in sugar and other simple carbohydrates. […] Doctors advise focusing on foods that are low in sugar and fat and have a low glycemic index. […] To help you lose weight, NYU Langones registered dietitians and nutritionists can create a healthy diet low in fat and calories. […] Regular exercise has many benefits in treating PCOS.

• #22 Black Women and PCOS | Resilient Sisterhood Project

  https://rsphealth.org/pcos/

  Lifestyle changes can positively impact the overall health and well-being of individuals with PCOS. Exercise: Physical exercise and weight-loss activities are important because they promote normal endocrine and adrenal functions which has the potential to result in a decrease of the clinical characteristics of PCOS (Xu, et al. 2022). There are many forms of free exercise: running, walking, dancing, swimming, playing sports, doing aerobics, and practicing yoga or tai chi. Nutrition: You should aim at eating a heart-healthy diet with lots of vegetables, fruits, nuts, beans, and whole grains. Limit foods that are high in saturated fat, such as meats, cheeses, and fried foods. Accessing and affording healthy, organic foods may be difficult, but choosing organic foods is important to minimize your exposure to EDCs. Eating healthy foods and weight control are among the key treatments for PCOS.

• #23 Polycystic Ovary Syndrome: Etiology, Current Management, and Future Therapeutics

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9964744/

  Therefore, a KD may yield even better benefits than a diet with an LGI in PCOS patients who have severe obesity and/or obesity coupled with full-blown metabolic syndrome; however, a general conclusion may be drawn that, by adhering to the fundamentals of a healthy diet, physiological homeostasis can be regulated and faster disease recovery can be accomplished. […] Women with PCOS who lose excess weight through alterations in their lifestyles experience regulated menstruation and improved reproductive outcomes. […] Probiotics (living microorganisms), prebiotics (sources of food for beneficial gut bacteria), synbiotics, and more recent therapies including FMTs are among the treatment possibilities for the altered gut microbiome that causes PCOS. […] Probiotic supplementation (L. acidophilus, L. casei, and B. bifidum) for 12 weeks led to a statistically significant reduction in weight and BMI in PCOS patients compared to the placebo, with positive effects on glycemia, TGs, and VLDL-C.

• #24 Polycystic Ovary Syndrome | Nutrition Guide for Clinicians

  https://nutritionguide.pcrm.org/nutritionguide/view/Nutrition_Guide_for_Clinicians/1342095/all/Polycystic_Ovary_Syndrome

  Patients with the diagnosis are at increased risk for depression and eating disorders and may have an impaired quality of life, compared with women with similar body mass indexes (BMI) who do not exhibit PCOS symptoms. Lifestyle changes, especially those that lead to weight loss, are the first line of therapy and can ameliorate multiple symptoms. […] In both women and adolescents with obesity, weight loss strategies, particularly a low-fat, plant-based diet, should be considered first, as this improves many PCOS sequelae. […] Dietary goals should target excess weight and insulin resistance. A low-fat, plant-based diet causes weight loss and reduces insulin resistance, which affects 50-70% of women with PCOS. […] One of the key nutrients in a diet that emphasizes whole grain intake, legumes, and nuts in place of refined carbohydrates is inositol hexaphosphate (Ip6, phytic acid). In clinical trials, inositol has been shown to improve insulin action, decrease androgen levels, and improve ovulatory function in both lean and obese women with PCOS.

• #25 Polycystic ovary syndrome (PCOS) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/pcos/diagnosis-treatment/drc-20353443

  To help ease the effects of PCOS, try to: […] Stay at a healthy weight. Weight loss can lower insulin and androgen levels. It also may restore ovulation. Ask your health care provider about a weight-control program, if you need one. Meet with a registered dietitian for help in reaching weight-loss goals. […] Limit carbohydrates. High-carbohydrate diets might make insulin levels go higher. Ask your provider if a low-carbohydrate diet could help if you have PCOS. Choose complex carbohydrates, which raise your blood sugar levels more slowly. Complex carbohydrates are found in fruits, vegetables, whole grains and cooked dry beans and peas. […] Be active. Exercise helps lower blood sugar levels. If you have PCOS, increasing your daily activity and getting regular exercise may treat or even prevent insulin resistance. Being active may also help you keep your weight under control and avoid developing diabetes.

• #26 What Is Polycystic Ovary Syndrome (PCOS)? Symptoms, Causes, Diagnosis, and Treatment

  https://www.everydayhealth.com/pcos/

  PCOS can’t be prevented, but you can manage your symptoms and prevent complications. […] If you manage your overall health well, take your medications, and make healthy lifestyle choices, you can reduce your symptoms and prevent the condition from worsening. […] Weight loss even a 10 percent loss in body weight can help regulate your period, improve fertility, and ease symptoms of PCOS. It can also improve your insulin levels and overall health. […] If your doctor recommends losing weight, you can work with a registered dietitian to make changes to your diet, while also incorporating more physical activity into your routine. […] Getting more exercise can also improve symptoms of PCOS and help with weight loss. […] Health experts suggest that people with PCOS get 150 to 300 minutes of moderate-intensity exercise or 75 to 150 minutes of vigorous exercise each week, which aligns with the Physical Activity Guidelines for Americans.

• #27 PCOS and Infertility – What It Is, Symptoms & Treatment | CCRM Fertility

  https://www.ccrmivf.com/pcos-infertility/

  For those women trying to conceive a pregnancy, the first step in treatment of PCOS is lifestyle modification, including a healthy diet and exercise. The diets shown to be most successful in PCOS patients include those with lower carbohydrates, a reduced glycemic load. Recommended exercise in PCOS patients is at least 30 minutes of moderate exercise three times per week, with daily exercise being the ultimate goal. […] Women who still have infrequent ovulation despite lifestyle modifications may require fertility medications to assist with the release of an egg from the ovary. Typical initial therapy for patients with PCOS who do not ovulate and are trying to conceive includes administration of certain fertility medications. […] In some instances, women with PCOS require in vitro fertilization (IVF) to achieve a healthy pregnancy. In this scenario, daily fertility injections are used to stimulate the ovaries to produce multiple eggs, which are harvested in a minor procedure.

• #28 What Is Polycystic Ovary Syndrome (PCOS)? Symptoms, Causes, Diagnosis, and Treatment

  https://www.everydayhealth.com/pcos/

  In addition, people with PCOS may want to do strength training activities on two nonconsecutive days of the week to build muscle and help prevent weight gain. […] There are several other lifestyle factors beyond changing your diet, losing weight, and getting more exercise that may improve your PCOS symptoms. […] Treating underlying sleep disorders: People with PCOS have a higher risk of sleep disorders, due to hormonal imbalances and poor sleep can contribute to mood disorders and other mental health conditions. […] Improving your emotional well-being: There is a higher prevalence of anxiety, depression, and disordered eating in people with PCOS. Weight gain may contribute to poor body image, which can contribute to depression. Cognitive behavioral therapy, mindfulness meditation, and counseling may help reduce stress and improve symptoms of these mental health conditions.

• #29 Black Women and PCOS | Resilient Sisterhood Project

  https://rsphealth.org/pcos/

  Lifestyle changes can positively impact the overall health and well-being of individuals with PCOS. Exercise: Physical exercise and weight-loss activities are important because they promote normal endocrine and adrenal functions which has the potential to result in a decrease of the clinical characteristics of PCOS (Xu, et al. 2022). There are many forms of free exercise: running, walking, dancing, swimming, playing sports, doing aerobics, and practicing yoga or tai chi. Nutrition: You should aim at eating a heart-healthy diet with lots of vegetables, fruits, nuts, beans, and whole grains. Limit foods that are high in saturated fat, such as meats, cheeses, and fried foods. Accessing and affording healthy, organic foods may be difficult, but choosing organic foods is important to minimize your exposure to EDCs. Eating healthy foods and weight control are among the key treatments for PCOS.

• #30 Polycystic Ovarian Syndrome Treatment & Management: Approach Considerations, Lifestyle Modifications, Drug Treatment

  https://emedicine.medscape.com/article/256806-treatment

  The Androgen Excess and Polycystic Ovary Syndrome Society recommends lifestyle management as the primary therapy for metabolic complications in overweight and obese women with PCOS. […] A moderate amount of daily exercise increases levels of IGF-1 binding protein and decreases levels of IGF-1 by 20%. Modest weight loss of 2-5% of total body weight can help restore ovulatory menstrual periods in obese patients with PCOS. […] Patients with polycystic ovarian syndrome (PCOS) who have impaired glucose tolerance should start a comprehensive program of diet and exercise to reduce their risk of developing diabetes mellitus. […] A diet patterned after the type 2 diabetes diet has been recommended for PCOS patients. […] Accumulating evidence suggests an association of vitamin D deficiency with metabolic syndrome.

• #31 Black Women and PCOS | Resilient Sisterhood Project

  https://rsphealth.org/pcos/

  Lifestyle changes can positively impact the overall health and well-being of individuals with PCOS. Exercise: Physical exercise and weight-loss activities are important because they promote normal endocrine and adrenal functions which has the potential to result in a decrease of the clinical characteristics of PCOS (Xu, et al. 2022). There are many forms of free exercise: running, walking, dancing, swimming, playing sports, doing aerobics, and practicing yoga or tai chi. Nutrition: You should aim at eating a heart-healthy diet with lots of vegetables, fruits, nuts, beans, and whole grains. Limit foods that are high in saturated fat, such as meats, cheeses, and fried foods. Accessing and affording healthy, organic foods may be difficult, but choosing organic foods is important to minimize your exposure to EDCs. Eating healthy foods and weight control are among the key treatments for PCOS.

• #32 Polycystic Ovarian Syndrome – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK459251/

  Lifestyle modifications are the primary and most effective management approach for PCOS treatment. Fertility is likely to return with a modest weight loss of about 5%, which can be achieved through a low-calorie diet that also improves ovarian structure. Lifestyle interventions, eg, exercise alone or a combination of diet, exercise, and behavioral strategies, should be recommended for all women with PCOS to reduce their metabolic dysfunction. Improved metabolic health in these patients can be monitored through observing reductions in central body fat and lipid profile normalization. […] […] As the understanding of PCOS shifts towards viewing it as primarily a metabolic disorder being a primarily metabolic disease evolves, metformin and other insulin-sensitizers and their therapeutic utility have taken center stage. Meformin also improves menstrual cycles, abnormal waist-to-hip ratio, and vascular markers in nonobese women with PCOS. […]

• #33 Polycystic Ovary Syndrome: Common Questions and Answers | AAFP

  https://www.aafp.org/pubs/afp/issues/2023/0300/polycystic-ovary-syndrome.html

  A 2019 Cochrane review concluded that lifestyle interventions may reduce free androgen index, body weight, and body mass index and increase sex hormone-binding globulin levels. […] Metformin is the first-line drug therapy for metabolic manifestations of PCOS such as insulin resistance, although it is likely inferior to lifestyle modification, especially for prevention of diabetes.

• #34 Metformin use in women with polycystic ovary syndrome

  https://atm.amegroups.org/article/view/3899/html

  Metformin is an effective ovulation induction agent for non-obese women with PCOS and offers some advantages over other first line treatments for anovulatory infertility such as clomiphene. […] Women with PCOS undergoing in vitro fertilisation should be offered metformin to reduce their risk of ovarian hyperstimulation syndrome. […] More research is required to define whether metformin has a role in improving long term health outcomes for women with PCOS, including the prevention of diabetes, cardiovascular disease and endometrial cancer. […] Lifestyle intervention, through dietary improvement and exercise yielding weight loss, remains the cornerstone of effective long term health improvement for women with PCOS who are overweight or obese. […] Nonetheless if metformin restores cyclicity and ovulation for women with PCOS who would otherwise be anovulatory, this would be expected to have a protective effect from the increased risk of endometrial cancer amongst these women, and may be a very suitable treatment for women who are unable to use OCP. […] More research is required to define whether metformin has a role in improving long term health outcomes for women with PCOS, including the prevention of diabetes, cardiovascular disease and endometrial cancer.

• #35

  https://www.healthychildren.org/English/health-issues/conditions/obesity/Pages/Polycystic-Ovary-Syndrome.aspx

  In patients who have overweight or obesity, losing weight may decrease insulin resistance and improve the signs and symptoms of PCOS. At least 150 minutes of a physical activity that raises the heart rate every week helps for weight loss. A healthy diet without sweet drinks, such as soda and juice, and with limited concentrated carbohydrates, reduced simple sugars and processed carbohydrates, and portion control will help to achieve weight loss and decrease insulin resistance. […] Metformin is a medication commonly used to treat type 2 diabetes mellitus. It may be used in the treatment of PCOS. It helps to reduce insulin resistance and can be associated with a small amount of weight loss. Metformin has not yet been approved by the US Food and Drug Administration (FDA) for the treatment of PCOS. However, metformin is generally safe and often helps.

• #36 Polycystic Ovarian Syndrome – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK459251/

  Lifestyle modifications are the primary and most effective management approach for PCOS treatment. Fertility is likely to return with a modest weight loss of about 5%, which can be achieved through a low-calorie diet that also improves ovarian structure. Lifestyle interventions, eg, exercise alone or a combination of diet, exercise, and behavioral strategies, should be recommended for all women with PCOS to reduce their metabolic dysfunction. Improved metabolic health in these patients can be monitored through observing reductions in central body fat and lipid profile normalization. […] […] As the understanding of PCOS shifts towards viewing it as primarily a metabolic disorder being a primarily metabolic disease evolves, metformin and other insulin-sensitizers and their therapeutic utility have taken center stage. Meformin also improves menstrual cycles, abnormal waist-to-hip ratio, and vascular markers in nonobese women with PCOS. […]

• #37 Polycystic Ovary Syndrome: Common Questions and Answers | AAFP

  https://www.aafp.org/pubs/afp/issues/2023/0300/polycystic-ovary-syndrome.html

  A 2019 Cochrane review concluded that lifestyle interventions may reduce free androgen index, body weight, and body mass index and increase sex hormone-binding globulin levels. […] Metformin is the first-line drug therapy for metabolic manifestations of PCOS such as insulin resistance, although it is likely inferior to lifestyle modification, especially for prevention of diabetes.

• #38 Metformin use in women with polycystic ovary syndrome

  https://atm.amegroups.org/article/view/3899/html

  Metformin is an effective ovulation induction agent for non-obese women with PCOS and offers some advantages over other first line treatments for anovulatory infertility such as clomiphene. […] Women with PCOS undergoing in vitro fertilisation should be offered metformin to reduce their risk of ovarian hyperstimulation syndrome. […] More research is required to define whether metformin has a role in improving long term health outcomes for women with PCOS, including the prevention of diabetes, cardiovascular disease and endometrial cancer. […] Lifestyle intervention, through dietary improvement and exercise yielding weight loss, remains the cornerstone of effective long term health improvement for women with PCOS who are overweight or obese. […] Nonetheless if metformin restores cyclicity and ovulation for women with PCOS who would otherwise be anovulatory, this would be expected to have a protective effect from the increased risk of endometrial cancer amongst these women, and may be a very suitable treatment for women who are unable to use OCP. […] More research is required to define whether metformin has a role in improving long term health outcomes for women with PCOS, including the prevention of diabetes, cardiovascular disease and endometrial cancer.

• #39 Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome (2023) – practice guidance | American Society for Reproductive Medicine | ASRM

  https://www.asrm.org/practice-guidance/practice-committee-documents/recommendations-from-the-2023-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome/

  Women should be counselled that the consequences of metformin exposure on long-term offspring health remain unclear and there is a suggestion of increased childhood weight, although causality is not certain. […] Women with PCOS should be counselled on the adverse impact of excess weight on clinical pregnancy, miscarriage, and live birth rates, following infertility treatment.

• #40 Diagnosis and Treatment of Polycystic Ovary Syndrome | AAFP

  https://www.aafp.org/pubs/afp/issues/2016/0715/p106.html

  In a patient not seeking pregnancy, the Endocrine Society recommends hormonal contraception (i.e., oral contraceptive, dermal patch, or vaginal ring) as the initial medication for treatment of irregular menses and hyperandrogenism manifesting as acne or hirsutism. […] Prevention of endometrial hyperplasia from chronic anovulation may be accomplished either by progesterone derivatives, progestin-containing oral contraceptives, or the levonorgestrel-releasing intrauterine system (Mirena).

• #41 Black Women and PCOS | Resilient Sisterhood Project

  https://rsphealth.org/pcos/

  Currently, there is limited information about preventing PCOS. Many of those diagnosed with this condition are genetically predisposed as it tends to run in the family; however, it is important to note that the role of genes is not exactly clear. Genes may make you susceptible to developing the condition but may not guarantee the development (Schlanger, MD, 2021). There are other risk factors besides genetics that are involved in the development of PCOS. […] According to Kacy Church, MD et al. (2023), risk factors that may bring out or worsen symptoms include, but are not limited to: Chronic stress, Chronic inflammation, Weight gain, Insulin resistance, Smoking: Smokers have higher androgen levels than nonsmokers. […] Early diagnosis and treatment are crucial to avoid or reduce long-term complications such as diabetes and heart disease. Treatment can reduce unpleasant symptoms and help prevent long-term health problems. Treatments include, but are not limited to: Medicine: Doctors have the option of prescribing a variety of medications, depending on the individual and their preferences. The medication can help reduce certain symptoms. Ask your doctor if you need vitamin D supplements. Oral Contraceptives: Hormonal birth control can be helpful in regulating menstrual cycles and reducing symptoms associated with high androgen levels.

• #42 Polycystic Ovary Syndrome | Center for Women’s Health | OHSU

  https://www.ohsu.edu/womens-health/polycystic-ovary-syndrome

  If you are overweight, ask your doctor to recommend a weight control plan or clinic. Area hospitals and support groups are also helpful. Increasing physical activity is an important step in any weight reduction program. […] Hormonal treatment is frequently successful in temporarily correcting the problems associated with PCOS. If treatment is stopped, however, symptoms usually reappear. If you are not trying to conceive, birth control pills may be your best hormonal treatment. Birth control pills decrease ovarian hormone production and help reverse the effects of excessive androgen levels. However, birth control pills are not recommended if you smoke and are over age 35. If you also have hirsutism, your doctor may prescribe spironolactone, combined with birth control pills.

• #43 Diagnosis and Treatment of Polycystic Ovary Syndrome | AAFP

  https://www.aafp.org/pubs/afp/issues/2016/0715/p106.html

  In a patient not seeking pregnancy, the Endocrine Society recommends hormonal contraception (i.e., oral contraceptive, dermal patch, or vaginal ring) as the initial medication for treatment of irregular menses and hyperandrogenism manifesting as acne or hirsutism. […] Prevention of endometrial hyperplasia from chronic anovulation may be accomplished either by progesterone derivatives, progestin-containing oral contraceptives, or the levonorgestrel-releasing intrauterine system (Mirena).

• #44 Polycystic Ovarian Syndrome – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK459251/

  The first-line therapy for infertility in PCOS patients is letrozole. Clomiphene citrate combined with metformin could be used rather than clomiphene citrate alone in women with PCOS with anovulatory infertility and no other infertility factors to improve ovulation and clinical pregnancy rates. […] […] Clinical hyperandrogenism requires long-term treatment and takes several months before effects are evident. Cosmetic interventions should be initiated while medications start working. These can be bleaching and temporary hair removal methods, galvanic or blended electrolysis for localized areas with the experienced operator, or laser photo-epilation for generalized hirsutism. […] […] Treatment with GLP-1 agonists was associated with decreased BMI and testosterone and an improved ovulation rate in obese women with PCOS. Increasing evidence shows that weight loss and insulin sensitivity are higher with GLP-1 agonists than metformin. […]

• #45 Polycystic Ovarian Syndrome – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK459251/

  Myoinositol is an over-the-counter food supplement that increases insulin sensitivity. Compared with placebo, insulin sensitivity in women with PCOS was improved without significantly affecting BMI. Data is limited, and its use has been mostly applied as fertility treatment of PCOS or when metformin is not tolerated, given it has fewer gastrointestinal adverse effects. […] […] General population guidelines should inform bariatric/metabolic surgery in women with PCOS.

• #46 Diagnosing and treating PCOS | Jean Hailes

  https://www.jeanhailes.org.au/health-a-z/polycystic-ovary-syndrome/diagnosing-and-treating-pcos

  Certain medicines reduce the production of testosterone and other androgens in the body, which may improve symptoms such as excess hair, scalp hair loss and acne. […] Low doses of vitamin D in women with a vitamin D deficiency may improve glucose metabolism and improve total cholesterol, LDL (bad) cholesterol and triglycerides in people with PCOS.

• #47 Black Women and PCOS | Resilient Sisterhood Project

  https://rsphealth.org/pcos/

  Making sure you have adequate levels of Vitamin D can help reduce the symptoms of PCOS including infertility. According to Szabolcs Vrbr et al. (2022), Vitamin D levels are linked to both infertility and the severity of PCOS. Frequent and significant Vitamin D deficiency is often found in women with PCOS, and fertility in women with and without PCOS is improved by vitamin D supplementation. Increased Vitamin D levels also improves insulin resistance, which may be responsible for the higher rate of miscarriages in PCOS. […] Dietary Therapy: Infertility rates in women with PCOS can be improved with weight loss. This often results in a higher rate of pregnancy as well as a decrease in the rate of miscarriages. In women with PCOS who are overweight or obese, even a 5% to 10% weight loss significantly improves metabolic and fertility outcomes (Jessica L. Chan, MD et al, 2023).

• #48 Polycystic Ovary Syndrome | Nutrition Guide for Clinicians

  https://nutritionguide.pcrm.org/nutritionguide/view/Nutrition_Guide_for_Clinicians/1342095/all/Polycystic_Ovary_Syndrome

  A dietary supplement with at least the minimum intake of the trace mineral chromium (i.e., the Recommended Daily Allowance of 25 g/day) may be helpful, for several reasons. Insulin-resistant women with PCOS were found to have significantly lower serum chromium levels compared with controls. […] PCOS can often be effectively treated through dietary changes, weight loss, and medical therapies. Diets that are low in fat and high in fiber are likely to achieve the best results, particularly when coupled with exercise. Families of affected patients would do well to adopt a similar diet and increased exercise to facilitate the patients adherence, as well as for their own health benefits.

• #49 Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome (2023) – practice guidance | American Society for Reproductive Medicine | ASRM

  https://www.asrm.org/practice-guidance/practice-committee-documents/recommendations-from-the-2023-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome/

  Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome (2023) […] The aim is to support women and their healthcare providers to optimize diagnosis, assessment and management of PCOS. […] There is an emphasis on improved education and awareness of healthcare professionals, partnership in care, and empowerment of women with PCOS. […] With effective translation, the Guideline will address priorities identified by women with PCOS, upskill healthcare professionals, empower consumers, improve care and outcomes, identify key research gaps, and promote vital future research. […] All women with PCOS should be assessed for cardiovascular disease risk factors. […] All women with PCOS, regardless of age and BMI, should have a lipid profile (cholesterol, low density lipoprotein cholesterol, high density lipoprotein cholesterol and triglyceride level) at diagnosis.

• #50 Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome (2023) – practice guidance | American Society for Reproductive Medicine | ASRM

  https://www.asrm.org/practice-guidance/practice-committee-documents/recommendations-from-the-2023-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome/

  All women with PCOS should have blood pressure measured annually and when planning pregnancy or seeking fertility treatment, given the high risk of hypertensive disorders in pregnancy and the associated comorbidities. […] Healthcare professionals, women with PCOS and other stakeholders should all prioritize preventative strategies to reduce cardiovascular risk. […] Glycaemic status should be assessed at diagnosis in all adults and adolescents with PCOS. […] Healthcare professionals, women with PCOS and other stakeholders should prioritize preventative strategies to reduce type 2 diabetes risk. […] Women with PCOS should be informed about the increased risk of endometrial hyperplasia and endometrial cancer, acknowledging that the overall chance of developing endometrial cancer is low, therefore routine screening is not recommended.

• #51 Diagnosis and Treatment of Polycystic Ovary Syndrome | AAFP

  https://www.aafp.org/pubs/afp/issues/2016/0715/p106.html

  Polycystic ovary syndrome (PCOS) is associated with multiple metabolic defects, including metabolic syndrome. […] Given the conditions associated with PCOS, the Endocrine Society, the Androgen Excess and PCOS Society, and the American College of Obstetricians and Gynecologists recommend that clinicians evaluate patients’ blood pressure at every visit and lipid levels at the time of diagnosis, and screen for type 2 diabetes with a two-hour oral glucose tolerance test regardless of a patient’s body mass index. […] A calorie-restricted diet is recommended for all patients with PCOS who are overweight. Weight loss has been shown to have a positive effect on fertility and metabolic profile. […] Lifestyle modification and weight reduction reduce insulin resistance and can significantly improve ovulation. Therefore, lifestyle modification is first-line therapy for women who are overweight.

• #52 Polycystic Ovary Syndrome (PCOS) | Duke Health

  https://www.dukehealth.org/treatments/endocrinology/polycystic-ovary-syndrome

  Early treatment of PCOS may prevent complications that can affect your skin, weight, or ability to get pregnant. […] Because women with PCOS are at higher risk for diabetes and other metabolic problems such as high blood pressure, high cholesterol, and nonalcoholic fatty liver disease, your provider may recommend lifestyle changes as well as medications to treat PCOS. […] A low glycemic diet restricts carbohydrates and manages insulin resistance, weight, and changes in hormone levels. […] Making these adjustments along with regular exercise can improve how you look and feel. […] Maintaining a healthy weight is particularly beneficial if you’re trying to get pregnant. […] Your provider may recommend medication to balance your hormones. […] Medication can also treat ovarian cysts, decrease acne, and regulate your menstrual cycle.

• #53 Polycystic Ovary Syndrome (PCOS) Information & Treatment

  https://www.columbiadoctors.org/health-library/condition/polycystic-ovary-syndrome-pcos/

  Regular exercise, healthy foods, and weight control are the key treatments for PCOS. […] Treatment can reduce unpleasant symptoms and help prevent long-term health problems. […] If you are overweight, weight loss may be all the treatment you need. Even losing 10 lb (4.5 kg) may help balance your hormones. […] Early diagnosis and treatment may help prevent future problems. […] It’s important to see your doctor for follow-up to make sure that treatment is working.

• #54 Polycystic Ovary Syndrome | Center for Women’s Health | OHSU

  https://www.ohsu.edu/womens-health/polycystic-ovary-syndrome

  Polycystic ovary syndrome (PCOS) is a condition that causes your ovaries to produce excessive amounts of androgens (male sex hormones). Your ovaries become enlarged and contain many small cysts. Many PCOS patients are also obese. Symptoms of PCOS include: […] Early diagnosis and treatment of POS is important. It can help decrease some of your symptoms and reduce your risk for certain diseases and disorders down the line. […] If you have had irregular menstrual periods and/or progressive hirsutism (excess hair growth on face and body) since puberty, you should be evaluated for PCOS. There is a genetic tendency to inherit this syndrome. Early treatment of PCOS may decrease the development of acne and hirsutism. […] Women with PCOS, particularly those with insulin resistance, may be at an increased risk for diabetes, heart disease, cholesterol abnormalities and endometrial cancer. If you are diagnosed with PCOS, you and your doctor should discuss the long-term health consequences. You should also discuss any additional testing that should be done.

• #55 Polycystic Ovary Syndrome (PCOS) | HealthLink BC

  https://www.healthlinkbc.ca/healthwise/polycystic-ovary-syndrome-pcos-0

  Regular exercise, healthy foods, and weight control are the key treatments for PCOS. Treatment can reduce unpleasant symptoms and help prevent long-term health problems. […] It’s important to see your doctor for follow-up to make sure that treatment is working. […] Early diagnosis and treatment may help prevent future problems.

• #56 Polycystic Ovary Syndrome: Etiology, Current Management, and Future Therapeutics

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9964744/

  Polycystic ovary syndrome (PCOS) is a complex endocrine and metabolic disorder, typically characterized by anovulation, infertility, obesity, insulin resistance, and polycystic ovaries. […] The restoration of gut microbiota by probiotics, prebiotics, or a fecal microbiota transplant (FMT) might serve as an innovative, efficient, and noninvasive way to prevent and mitigate PCOS. […] Lifestyle changes are the primary line of treatment for women with PCOS, but they are not an alternative to pharmacological treatments. Regular physical exercise, maintaining a healthy body weight, adhering to healthy dietary habits, and abstaining from tobacco use are all important in the prevention and treatment of metabolic diseases, and are recommended in clinical guidelines for a variety of ailments. […] High-calorie diets and sedentary lifestyles might be possible causes of exacerbating PCOS.

• #57 Polycystic Ovary Syndrome: Etiology, Current Management, and Future Therapeutics

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9964744/

  Therefore, a KD may yield even better benefits than a diet with an LGI in PCOS patients who have severe obesity and/or obesity coupled with full-blown metabolic syndrome; however, a general conclusion may be drawn that, by adhering to the fundamentals of a healthy diet, physiological homeostasis can be regulated and faster disease recovery can be accomplished. […] Women with PCOS who lose excess weight through alterations in their lifestyles experience regulated menstruation and improved reproductive outcomes. […] Probiotics (living microorganisms), prebiotics (sources of food for beneficial gut bacteria), synbiotics, and more recent therapies including FMTs are among the treatment possibilities for the altered gut microbiome that causes PCOS. […] Probiotic supplementation (L. acidophilus, L. casei, and B. bifidum) for 12 weeks led to a statistically significant reduction in weight and BMI in PCOS patients compared to the placebo, with positive effects on glycemia, TGs, and VLDL-C.

• #58 Polycystic Ovary Syndrome: Etiology, Current Management, and Future Therapeutics

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9964744/

  The regular consumption of resistant dextrin, which is prebiotic, can help in the regulation of metabolic parameters and could reduce hyperandrogenism as well as menstrual cycle abnormalities in PCOS women. […] FMTs can regulate the diversity of gut microbiota, blood sugar level, and insulin sensitivity, in addition to mediating the release of inflammatory cytokines. It might be a viable cutting-edge PCOS treatment approach.

• #59 Polycystic Ovary Syndrome: Etiology, Current Management, and Future Therapeutics

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9964744/

  Therefore, a KD may yield even better benefits than a diet with an LGI in PCOS patients who have severe obesity and/or obesity coupled with full-blown metabolic syndrome; however, a general conclusion may be drawn that, by adhering to the fundamentals of a healthy diet, physiological homeostasis can be regulated and faster disease recovery can be accomplished. […] Women with PCOS who lose excess weight through alterations in their lifestyles experience regulated menstruation and improved reproductive outcomes. […] Probiotics (living microorganisms), prebiotics (sources of food for beneficial gut bacteria), synbiotics, and more recent therapies including FMTs are among the treatment possibilities for the altered gut microbiome that causes PCOS. […] Probiotic supplementation (L. acidophilus, L. casei, and B. bifidum) for 12 weeks led to a statistically significant reduction in weight and BMI in PCOS patients compared to the placebo, with positive effects on glycemia, TGs, and VLDL-C.

• #60 Polycystic Ovary Syndrome: Etiology, Current Management, and Future Therapeutics

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9964744/

  The regular consumption of resistant dextrin, which is prebiotic, can help in the regulation of metabolic parameters and could reduce hyperandrogenism as well as menstrual cycle abnormalities in PCOS women. […] FMTs can regulate the diversity of gut microbiota, blood sugar level, and insulin sensitivity, in addition to mediating the release of inflammatory cytokines. It might be a viable cutting-edge PCOS treatment approach.

• #61 Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome (2023) – practice guidance | American Society for Reproductive Medicine | ASRM

  https://www.asrm.org/practice-guidance/practice-committee-documents/recommendations-from-the-2023-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome/

  Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome (2023) […] The aim is to support women and their healthcare providers to optimize diagnosis, assessment and management of PCOS. […] There is an emphasis on improved education and awareness of healthcare professionals, partnership in care, and empowerment of women with PCOS. […] With effective translation, the Guideline will address priorities identified by women with PCOS, upskill healthcare professionals, empower consumers, improve care and outcomes, identify key research gaps, and promote vital future research. […] All women with PCOS should be assessed for cardiovascular disease risk factors. […] All women with PCOS, regardless of age and BMI, should have a lipid profile (cholesterol, low density lipoprotein cholesterol, high density lipoprotein cholesterol and triglyceride level) at diagnosis.

• #62 Polycystic Ovary Syndrome (PCOS): Symptoms and Treatment

  https://patient.info/womens-health/polycystic-ovary-syndrome-leaflet

  Polycystic Ovary Syndrome (PCOS) is a health condition that affects some women from their late teens onwards. Though PCOS is sometimes managed with medicine, its symptoms can be reduced through a combination of healthy lifestyle habits – especially your diet. […] A healthy lifestyle is important to help prevent the conditions listed above in 'Possible long-term problems of polycystic ovary syndrome (PCOS)’. For example, you should: Eat a healthy diet. Exercise regularly. Lose weight if you are overweight or have obesity. Not smoke. Healthy lifestyle advice applies to everyone, whether they have PCOS or not. However, it is particularly important for women with PCOS, as they may have extra risk factors for health problems in later life. These risks are much reduced if you are not overweight and do not smoke.

• #63 Polycystic ovary syndrome (PCOS) | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/polycystic-ovarian-syndrome-pcos

  PCOS symptoms can be managed with a healthy lifestyle and certain medicines. […] Early diagnosis and support from a team of health practitioners can reduce symptoms and prevent long-term health problems. […] A healthy lifestyle is the most effective way to manage PCOS symptoms. […] You can reduce this risk with a healthy lifestyle, regular health checks (e.g. blood pressure and blood glucose checks) and medicine if required.

• #64 Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome (2023) – practice guidance | American Society for Reproductive Medicine | ASRM

  https://www.asrm.org/practice-guidance/practice-committee-documents/recommendations-from-the-2023-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome/

  Healthcare professionals should be aware that lifestyle management is a core focus in PCOS management. […] There are benefits to a healthy lifestyle even in the absence of weight loss. […] Healthcare professionals should be aware of weight stigma when discussing lifestyle management with women with PCOS. […] Mechanical laser and light therapies should be considered for reducing facial hirsutism and for related depression, anxiety, and quality of life in women with PCOS. […] Bariatric/ metabolic surgery could be considered to improve weight loss, hypertension, diabetes (prevention and treatment), hirsutism, irregular menstrual cycles, ovulation, and pregnancy rates in women with PCOS. […] Early lifestyle intervention should be offered to pregnant women with PCOS, given the risk of higher baseline weight, excess gestational weight gain and pregnancy complications.

• #65 Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome (2023) – practice guidance | American Society for Reproductive Medicine | ASRM

  https://www.asrm.org/practice-guidance/practice-committee-documents/recommendations-from-the-2023-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome/

  Women with PCOS should be informed of preventative strategies including weight management, cycle regulation and regular progestogen therapy. […] Shared decision making between the patient and the healthcare professional is required. […] An individuals characteristics, preferences and values must be elicited and considered when recommending any intervention alone or in combination. […] Understanding how individual adults and adolescents value treatment outcomes is essential when prescribing medications. […] Lifestyle intervention (exercise alone or multicomponent diet combined with exercise and behavioural strategies) should be recommended for all women with PCOS, for improving metabolic health including central adiposity and lipid profile. […] Healthy lifestyle behaviours encompassing healthy eating and/or physical activity should be recommended in all women with PCOS to optimize general health, quality of life, body composition and weight management.

• #66 What Is Polycystic Ovary Syndrome (PCOS)? Symptoms, Causes, Diagnosis, and Treatment

  https://www.everydayhealth.com/pcos/

  In addition, people with PCOS may want to do strength training activities on two nonconsecutive days of the week to build muscle and help prevent weight gain. […] There are several other lifestyle factors beyond changing your diet, losing weight, and getting more exercise that may improve your PCOS symptoms. […] Treating underlying sleep disorders: People with PCOS have a higher risk of sleep disorders, due to hormonal imbalances and poor sleep can contribute to mood disorders and other mental health conditions. […] Improving your emotional well-being: There is a higher prevalence of anxiety, depression, and disordered eating in people with PCOS. Weight gain may contribute to poor body image, which can contribute to depression. Cognitive behavioral therapy, mindfulness meditation, and counseling may help reduce stress and improve symptoms of these mental health conditions.

• #67 Natural Treatment PCOS: 30 Ways to Help Hormones, Insulin, and More

  https://www.healthline.com/health/womens-health/natural-treatment-pcos

  Polycystic ovary syndrome (PCOS) is the most common endocrine condition among U.S. women of reproductive age. Its symptoms include: […] You may be able to manage these factors and ease your symptoms through lifestyle changes and dietary supplements, but theres no one-size-fits-all approach to treatment. […] Eating the right foods and avoiding certain ingredients may help you manage your symptoms. A nourishing diet can help regulate your hormones and your menstrual cycle. […] Adding anti-inflammatory foods to your diet can help ease your symptoms. […] Maintaining a healthy weight can help decrease insulin resistance, regulate your period, and reduce your risk of conditions associated with PCOS. […] Exercise is important for maintaining a healthy weight. […] Sleep affects your stress levels and helps regulate cortisol to balance your hormones.

• #68 Natural Treatment PCOS: 30 Ways to Help Hormones, Insulin, and More

  https://www.healthline.com/health/womens-health/natural-treatment-pcos

  Reducing stress can regulate cortisol. […] Endocrine disruptors are chemicals or ingredients that interfere with or block your bodys natural hormonal reactions. […] Theres enough research to make a case for acupuncture as an alternative treatment for PCOS. […] You should always check with your doctor before starting any alternative therapy. […] If youre considering any of the above natural treatment options for PCOS, work with your doctor to make a treatment plan.

• #69 Polycystic ovary syndrome

  https://dermnetnz.org/topics/polycystic-ovary-syndrome

  In the past, management of the condition was directed at treating individual symptoms of PCOS, such as hirsutism, acne or fertility. More recently with the understanding that insulin resistance has a large part to play in the development of PCOS, treatment has shifted towards correcting insulin resistance, which in turn improves many other symptoms of the condition. […] Diet and exercise: weight loss in obese PCOS patients leads to decreased insulin resistance and a fall in testosterone levels. Outward improvements include reduced hirsutism and a return of menstrual cycles in some women. […] Metformin and newer glitazone antidiabetic medications decrease insulin resistance and the amount of insulin in the blood. They may also normalise ovulation. […] Stopping smoking reduces the likelihood of smoking-related complications such as blood clots.

• #70 Black Women and PCOS | Resilient Sisterhood Project

  https://rsphealth.org/pcos/

  Currently, there is limited information about preventing PCOS. Many of those diagnosed with this condition are genetically predisposed as it tends to run in the family; however, it is important to note that the role of genes is not exactly clear. Genes may make you susceptible to developing the condition but may not guarantee the development (Schlanger, MD, 2021). There are other risk factors besides genetics that are involved in the development of PCOS. […] According to Kacy Church, MD et al. (2023), risk factors that may bring out or worsen symptoms include, but are not limited to: Chronic stress, Chronic inflammation, Weight gain, Insulin resistance, Smoking: Smokers have higher androgen levels than nonsmokers. […] Early diagnosis and treatment are crucial to avoid or reduce long-term complications such as diabetes and heart disease. Treatment can reduce unpleasant symptoms and help prevent long-term health problems. Treatments include, but are not limited to: Medicine: Doctors have the option of prescribing a variety of medications, depending on the individual and their preferences. The medication can help reduce certain symptoms. Ask your doctor if you need vitamin D supplements. Oral Contraceptives: Hormonal birth control can be helpful in regulating menstrual cycles and reducing symptoms associated with high androgen levels.

• #71 Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome (2023) – practice guidance | American Society for Reproductive Medicine | ASRM

  https://www.asrm.org/practice-guidance/practice-committee-documents/recommendations-from-the-2023-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome/

  Women should be counselled that the consequences of metformin exposure on long-term offspring health remain unclear and there is a suggestion of increased childhood weight, although causality is not certain. […] Women with PCOS should be counselled on the adverse impact of excess weight on clinical pregnancy, miscarriage, and live birth rates, following infertility treatment.

• #72 Polycystic ovary syndrome

  https://womenshealth.gov/a-z-topics/polycystic-ovary-syndrome

  You can take steps at home to help your PCOS symptoms, including: […] Losing weight. Healthy eating habits and regular physical activity can help relieve PCOS-related symptoms. Losing weight may help to lower your blood glucose levels, improve the way your body uses insulin, and help your hormones reach normal levels. Even a 10% loss in body weight (for example, a 150-pound woman losing 15 pounds) can help make your menstrual cycle more regular and improve your chances of getting pregnant. […] Reaching a healthy weight before you get pregnant. Use this interactive tool to see your healthy weight before pregnancy and what to gain during pregnancy. […] Reaching healthy blood sugar levels before you get pregnant. You can do this through a combination of healthy eating habits, regular physical activity, weight loss, and medicines such as metformin.

• #73 PCOS and Infertility – What It Is, Symptoms & Treatment | CCRM Fertility

  https://www.ccrmivf.com/pcos-infertility/

  For those women trying to conceive a pregnancy, the first step in treatment of PCOS is lifestyle modification, including a healthy diet and exercise. The diets shown to be most successful in PCOS patients include those with lower carbohydrates, a reduced glycemic load. Recommended exercise in PCOS patients is at least 30 minutes of moderate exercise three times per week, with daily exercise being the ultimate goal. […] Women who still have infrequent ovulation despite lifestyle modifications may require fertility medications to assist with the release of an egg from the ovary. Typical initial therapy for patients with PCOS who do not ovulate and are trying to conceive includes administration of certain fertility medications. […] In some instances, women with PCOS require in vitro fertilization (IVF) to achieve a healthy pregnancy. In this scenario, daily fertility injections are used to stimulate the ovaries to produce multiple eggs, which are harvested in a minor procedure.

• #74 Polycystic ovary syndrome

  https://womenshealth.gov/a-z-topics/polycystic-ovary-syndrome

  You can take steps at home to help your PCOS symptoms, including: […] Losing weight. Healthy eating habits and regular physical activity can help relieve PCOS-related symptoms. Losing weight may help to lower your blood glucose levels, improve the way your body uses insulin, and help your hormones reach normal levels. Even a 10% loss in body weight (for example, a 150-pound woman losing 15 pounds) can help make your menstrual cycle more regular and improve your chances of getting pregnant. […] Reaching a healthy weight before you get pregnant. Use this interactive tool to see your healthy weight before pregnancy and what to gain during pregnancy. […] Reaching healthy blood sugar levels before you get pregnant. You can do this through a combination of healthy eating habits, regular physical activity, weight loss, and medicines such as metformin.

• #75 Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome (2023) – practice guidance | American Society for Reproductive Medicine | ASRM

  https://www.asrm.org/practice-guidance/practice-committee-documents/recommendations-from-the-2023-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome/

  Healthcare professionals should be aware that lifestyle management is a core focus in PCOS management. […] There are benefits to a healthy lifestyle even in the absence of weight loss. […] Healthcare professionals should be aware of weight stigma when discussing lifestyle management with women with PCOS. […] Mechanical laser and light therapies should be considered for reducing facial hirsutism and for related depression, anxiety, and quality of life in women with PCOS. […] Bariatric/ metabolic surgery could be considered to improve weight loss, hypertension, diabetes (prevention and treatment), hirsutism, irregular menstrual cycles, ovulation, and pregnancy rates in women with PCOS. […] Early lifestyle intervention should be offered to pregnant women with PCOS, given the risk of higher baseline weight, excess gestational weight gain and pregnancy complications.

• #76 Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome (2023) – practice guidance | American Society for Reproductive Medicine | ASRM

  https://www.asrm.org/practice-guidance/practice-committee-documents/recommendations-from-the-2023-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome/

  Women should be counselled that the consequences of metformin exposure on long-term offspring health remain unclear and there is a suggestion of increased childhood weight, although causality is not certain. […] Women with PCOS should be counselled on the adverse impact of excess weight on clinical pregnancy, miscarriage, and live birth rates, following infertility treatment.

• #77 Black Women and PCOS | Resilient Sisterhood Project

  https://rsphealth.org/pcos/

  Making sure you have adequate levels of Vitamin D can help reduce the symptoms of PCOS including infertility. According to Szabolcs Vrbr et al. (2022), Vitamin D levels are linked to both infertility and the severity of PCOS. Frequent and significant Vitamin D deficiency is often found in women with PCOS, and fertility in women with and without PCOS is improved by vitamin D supplementation. Increased Vitamin D levels also improves insulin resistance, which may be responsible for the higher rate of miscarriages in PCOS. […] Dietary Therapy: Infertility rates in women with PCOS can be improved with weight loss. This often results in a higher rate of pregnancy as well as a decrease in the rate of miscarriages. In women with PCOS who are overweight or obese, even a 5% to 10% weight loss significantly improves metabolic and fertility outcomes (Jessica L. Chan, MD et al, 2023).

• #78 Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome (2023) – practice guidance | American Society for Reproductive Medicine | ASRM

  https://www.asrm.org/practice-guidance/practice-committee-documents/recommendations-from-the-2023-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome/

  All women with PCOS should have blood pressure measured annually and when planning pregnancy or seeking fertility treatment, given the high risk of hypertensive disorders in pregnancy and the associated comorbidities. […] Healthcare professionals, women with PCOS and other stakeholders should all prioritize preventative strategies to reduce cardiovascular risk. […] Glycaemic status should be assessed at diagnosis in all adults and adolescents with PCOS. […] Healthcare professionals, women with PCOS and other stakeholders should prioritize preventative strategies to reduce type 2 diabetes risk. […] Women with PCOS should be informed about the increased risk of endometrial hyperplasia and endometrial cancer, acknowledging that the overall chance of developing endometrial cancer is low, therefore routine screening is not recommended.

• #79 Polycystic Ovary Syndrome (PCOS) and Cancer – NFCR

  https://www.nfcr.org/blog/polycystic-ovary-syndrome-pcos-and-cancer/

  If left untreated, hormone levels will remain abnormal, affecting the whole body and increase cancer risk. […] Women with PCOS are often obese or overweight. Obesity is a known risk factor for endometrial cancer as it also increases estrogen levels. Getting regular exercise and sticking to a healthy diet can help women lose excess pounds and minimize the risk of endometrial cancer, even with PCOS. […] Reducing the amount of fat in ones diet can reduce endometrial cancer risk. Researchers found that fat affects how estrogen metabolizes and is used by the body, raising the chances of developing endometrial cancer. […] It is vital to keep an eye out for early signs of cancer. Regular pelvic exams with a gynecologist can help identify endometrial cancer early and begin treatment as needed. […] Thankfully, though it is not possible to prevent PCOS, it is possible to reduce the risk of developing cancers associated with PCOS.

• #80 Polycystic Ovary Syndrome (PCOS) and Cancer – NFCR

  https://www.nfcr.org/blog/polycystic-ovary-syndrome-pcos-and-cancer/

  If left untreated, hormone levels will remain abnormal, affecting the whole body and increase cancer risk. […] Women with PCOS are often obese or overweight. Obesity is a known risk factor for endometrial cancer as it also increases estrogen levels. Getting regular exercise and sticking to a healthy diet can help women lose excess pounds and minimize the risk of endometrial cancer, even with PCOS. […] Reducing the amount of fat in ones diet can reduce endometrial cancer risk. Researchers found that fat affects how estrogen metabolizes and is used by the body, raising the chances of developing endometrial cancer. […] It is vital to keep an eye out for early signs of cancer. Regular pelvic exams with a gynecologist can help identify endometrial cancer early and begin treatment as needed. […] Thankfully, though it is not possible to prevent PCOS, it is possible to reduce the risk of developing cancers associated with PCOS.

• #81 Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome (2023) – practice guidance | American Society for Reproductive Medicine | ASRM

  https://www.asrm.org/practice-guidance/practice-committee-documents/recommendations-from-the-2023-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome/

  Women with PCOS should be informed of preventative strategies including weight management, cycle regulation and regular progestogen therapy. […] Shared decision making between the patient and the healthcare professional is required. […] An individuals characteristics, preferences and values must be elicited and considered when recommending any intervention alone or in combination. […] Understanding how individual adults and adolescents value treatment outcomes is essential when prescribing medications. […] Lifestyle intervention (exercise alone or multicomponent diet combined with exercise and behavioural strategies) should be recommended for all women with PCOS, for improving metabolic health including central adiposity and lipid profile. […] Healthy lifestyle behaviours encompassing healthy eating and/or physical activity should be recommended in all women with PCOS to optimize general health, quality of life, body composition and weight management.

• #82 Polycystic Ovary Syndrome (PCOS) and Cancer – NFCR

  https://www.nfcr.org/blog/polycystic-ovary-syndrome-pcos-and-cancer/

  If left untreated, hormone levels will remain abnormal, affecting the whole body and increase cancer risk. […] Women with PCOS are often obese or overweight. Obesity is a known risk factor for endometrial cancer as it also increases estrogen levels. Getting regular exercise and sticking to a healthy diet can help women lose excess pounds and minimize the risk of endometrial cancer, even with PCOS. […] Reducing the amount of fat in ones diet can reduce endometrial cancer risk. Researchers found that fat affects how estrogen metabolizes and is used by the body, raising the chances of developing endometrial cancer. […] It is vital to keep an eye out for early signs of cancer. Regular pelvic exams with a gynecologist can help identify endometrial cancer early and begin treatment as needed. […] Thankfully, though it is not possible to prevent PCOS, it is possible to reduce the risk of developing cancers associated with PCOS.

• #83 Metformin use in women with polycystic ovary syndrome

  https://atm.amegroups.org/article/view/3899/html

  Metformin is an effective ovulation induction agent for non-obese women with PCOS and offers some advantages over other first line treatments for anovulatory infertility such as clomiphene. […] Women with PCOS undergoing in vitro fertilisation should be offered metformin to reduce their risk of ovarian hyperstimulation syndrome. […] More research is required to define whether metformin has a role in improving long term health outcomes for women with PCOS, including the prevention of diabetes, cardiovascular disease and endometrial cancer. […] Lifestyle intervention, through dietary improvement and exercise yielding weight loss, remains the cornerstone of effective long term health improvement for women with PCOS who are overweight or obese. […] Nonetheless if metformin restores cyclicity and ovulation for women with PCOS who would otherwise be anovulatory, this would be expected to have a protective effect from the increased risk of endometrial cancer amongst these women, and may be a very suitable treatment for women who are unable to use OCP. […] More research is required to define whether metformin has a role in improving long term health outcomes for women with PCOS, including the prevention of diabetes, cardiovascular disease and endometrial cancer.

• #84 Polycystic Ovary Syndrome | Center for Women’s Health | OHSU

  https://www.ohsu.edu/womens-health/polycystic-ovary-syndrome

  Polycystic ovary syndrome (PCOS) is a condition that causes your ovaries to produce excessive amounts of androgens (male sex hormones). Your ovaries become enlarged and contain many small cysts. Many PCOS patients are also obese. Symptoms of PCOS include: […] Early diagnosis and treatment of POS is important. It can help decrease some of your symptoms and reduce your risk for certain diseases and disorders down the line. […] If you have had irregular menstrual periods and/or progressive hirsutism (excess hair growth on face and body) since puberty, you should be evaluated for PCOS. There is a genetic tendency to inherit this syndrome. Early treatment of PCOS may decrease the development of acne and hirsutism. […] Women with PCOS, particularly those with insulin resistance, may be at an increased risk for diabetes, heart disease, cholesterol abnormalities and endometrial cancer. If you are diagnosed with PCOS, you and your doctor should discuss the long-term health consequences. You should also discuss any additional testing that should be done.

• #85 Polycystic Ovary Syndrome (PCOS) (for Teens) | Nemours KidsHealth

  https://kidshealth.org/en/teens/pcos.html

  There’s no cure for PCOS, but it can be treated. […] If you’re overweight or obese, a doctor will recommend lifestyle changes. Weight loss can be very effective in easing many of the health conditions associated with PCOS, such as high blood pressure and diabetes. […] Exercise is very important to improve your body’s sensitivity to insulin and prevent progression to diabetes. […] Medicines should always be combined with the recommended lifestyle changes.

• #86 Polycystic ovary syndrome (PCOS) | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/polycystic-ovarian-syndrome-pcos

  PCOS symptoms can be managed with a healthy lifestyle and certain medicines. […] Early diagnosis and support from a team of health practitioners can reduce symptoms and prevent long-term health problems. […] A healthy lifestyle is the most effective way to manage PCOS symptoms. […] You can reduce this risk with a healthy lifestyle, regular health checks (e.g. blood pressure and blood glucose checks) and medicine if required.

• #87 Polycystic Ovary Syndrome | Center for Women’s Health | OHSU

  https://www.ohsu.edu/womens-health/polycystic-ovary-syndrome

  If you are overweight, ask your doctor to recommend a weight control plan or clinic. Area hospitals and support groups are also helpful. Increasing physical activity is an important step in any weight reduction program. […] Hormonal treatment is frequently successful in temporarily correcting the problems associated with PCOS. If treatment is stopped, however, symptoms usually reappear. If you are not trying to conceive, birth control pills may be your best hormonal treatment. Birth control pills decrease ovarian hormone production and help reverse the effects of excessive androgen levels. However, birth control pills are not recommended if you smoke and are over age 35. If you also have hirsutism, your doctor may prescribe spironolactone, combined with birth control pills.

• #88 Polycystic Ovary Syndrome | Center for Women’s Health | OHSU

  https://www.ohsu.edu/womens-health/polycystic-ovary-syndrome

  Polycystic ovary syndrome (PCOS) is a condition that causes your ovaries to produce excessive amounts of androgens (male sex hormones). Your ovaries become enlarged and contain many small cysts. Many PCOS patients are also obese. Symptoms of PCOS include: […] Early diagnosis and treatment of POS is important. It can help decrease some of your symptoms and reduce your risk for certain diseases and disorders down the line. […] If you have had irregular menstrual periods and/or progressive hirsutism (excess hair growth on face and body) since puberty, you should be evaluated for PCOS. There is a genetic tendency to inherit this syndrome. Early treatment of PCOS may decrease the development of acne and hirsutism. […] Women with PCOS, particularly those with insulin resistance, may be at an increased risk for diabetes, heart disease, cholesterol abnormalities and endometrial cancer. If you are diagnosed with PCOS, you and your doctor should discuss the long-term health consequences. You should also discuss any additional testing that should be done.

• #89 Diagnosing and treating PCOS | Jean Hailes

  https://www.jeanhailes.org.au/health-a-z/polycystic-ovary-syndrome/diagnosing-and-treating-pcos

  Research studies have shown that a weight reduction of 5% to 10% can: reduce insulin resistance by about 50%, restore ovulation, regulate menstrual cycles, improve fertility, reduce pregnancy complications, improve the health of mother and child during pregnancy, improve emotional health (self-esteem, anxiety, depression), reduce the risk of developing diabetes and heart disease. […] Symptoms of PCOS, such as excess hair growth and acne, can make you feel self-conscious, reduce your self-esteem and affect your body image and mood. […] Having a healthy lifestyle (a balanced diet and physical activity) is an effective way to improve your mood and reduce negative feelings. […] More than 70% of women with PCOS in Australia use natural therapies to improve their symptoms and general wellbeing.

• #90 Polycystic ovary syndrome (PCOS) treatment, from self-care to medication | HealthPartners Blog

  https://www.healthpartners.com/blog/treatment-for-pcos/

  Polycystic ovary syndrome is one of the most common causes of infertility in women. […] When discussing your treatment, your doctor will ask about your pregnancy goals. If you hope to become pregnant, they will focus on a plan that helps your body ovulate regularly to increase your chances of conceiving. […] Symptom management is the first treatment step for most people, and this can often be achieved through lifestyle changes. […] Weight loss can help manage and relieve some of your symptoms. A weight loss of as little as 5% of your body weight can lead to more normal menstrual cycles and ovulation. […] To help you lose weight or maintain a healthy weight, your doctor may recommend some dietary changes. […] Regular exercise can help increase your body’s sensitivity to insulin and improve your mental health, while also aiding in weight loss or weight maintenance efforts.

• #91 Polycystic ovary syndrome (PCOS) treatment, from self-care to medication | HealthPartners Blog

  https://www.healthpartners.com/blog/treatment-for-pcos/

  Managing your weight, diet and activity level can decrease excessive hair growth linked to PCOS, but doctors may recommend hair removal procedures like waxing, electrolysis or laser hair removal to further reduce this growth. […] Doctors will use your pregnancy goals to recommend treatment options for PCOS-related infertility. […] To increase your chances of getting pregnant, doctors may prescribe ovulation medications that help your ovaries release eggs more regularly. […] Hormonal birth control can be an effective, short- or long-term treatment for polycystic ovary syndrome in women who don’t want to become pregnant now or in the future. […] Your doctor may prescribe diabetes medication because PCOS can impact the pancreas just like diabetes. […] To treat your PCOS symptoms, your doctor may prescribe hormone blockers like anti-androgen medicines. […] There are several options available for treating polycystic ovary syndrome.

• #92 Polycystic ovary syndrome (PCOS) treatment, from self-care to medication | HealthPartners Blog

  https://www.healthpartners.com/blog/treatment-for-pcos/

  Managing your weight, diet and activity level can decrease excessive hair growth linked to PCOS, but doctors may recommend hair removal procedures like waxing, electrolysis or laser hair removal to further reduce this growth. […] Doctors will use your pregnancy goals to recommend treatment options for PCOS-related infertility. […] To increase your chances of getting pregnant, doctors may prescribe ovulation medications that help your ovaries release eggs more regularly. […] Hormonal birth control can be an effective, short- or long-term treatment for polycystic ovary syndrome in women who don’t want to become pregnant now or in the future. […] Your doctor may prescribe diabetes medication because PCOS can impact the pancreas just like diabetes. […] To treat your PCOS symptoms, your doctor may prescribe hormone blockers like anti-androgen medicines. […] There are several options available for treating polycystic ovary syndrome.

• #93 Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome (2023) – practice guidance | American Society for Reproductive Medicine | ASRM

  https://www.asrm.org/practice-guidance/practice-committee-documents/recommendations-from-the-2023-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome/

  Healthcare professionals should be aware that lifestyle management is a core focus in PCOS management. […] There are benefits to a healthy lifestyle even in the absence of weight loss. […] Healthcare professionals should be aware of weight stigma when discussing lifestyle management with women with PCOS. […] Mechanical laser and light therapies should be considered for reducing facial hirsutism and for related depression, anxiety, and quality of life in women with PCOS. […] Bariatric/ metabolic surgery could be considered to improve weight loss, hypertension, diabetes (prevention and treatment), hirsutism, irregular menstrual cycles, ovulation, and pregnancy rates in women with PCOS. […] Early lifestyle intervention should be offered to pregnant women with PCOS, given the risk of higher baseline weight, excess gestational weight gain and pregnancy complications.

• #94 Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome (2023) – practice guidance | American Society for Reproductive Medicine | ASRM

  https://www.asrm.org/practice-guidance/practice-committee-documents/recommendations-from-the-2023-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome/

  Healthcare professionals should be aware that lifestyle management is a core focus in PCOS management. […] There are benefits to a healthy lifestyle even in the absence of weight loss. […] Healthcare professionals should be aware of weight stigma when discussing lifestyle management with women with PCOS. […] Mechanical laser and light therapies should be considered for reducing facial hirsutism and for related depression, anxiety, and quality of life in women with PCOS. […] Bariatric/ metabolic surgery could be considered to improve weight loss, hypertension, diabetes (prevention and treatment), hirsutism, irregular menstrual cycles, ovulation, and pregnancy rates in women with PCOS. […] Early lifestyle intervention should be offered to pregnant women with PCOS, given the risk of higher baseline weight, excess gestational weight gain and pregnancy complications.

• #95 A Pharmacist’s Guide to the Management of Polycystic Ovarian Syndrome

  https://www.pharmacytimes.com/view/a-pharmacist-s-guide-to-the-management-of-polycystic-ovarian-syndrome

  PCOS can be managed with nonpharmacological and/or pharmacological interventions, depending on the patient’s preference and other patient-specific factors. […] Lifestyle modifications including weight loss, exercise, dieting, low carbohydrate and sugar diets, nutritional supplements, and smoking cessation can significantly improve many of the symptoms associated with PCOS. […] By addressing lifestyle factors and incorporating complementary therapies, women with PCOS can manage their symptoms and reduce the risk of associated complications. […] Weight reduction and calorie intake restriction is crucial, as even a 5% to 10% weight loss can restore regular menstrual cycles, reduce metabolic syndrome risk, decrease free testosterone levels, and improve insulin resistance. […] Pharmacists can work alongside patients and physicians to create a comprehensive treatment plan based on a patients symptoms.

• #96 A Pharmacist’s Guide to the Management of Polycystic Ovarian Syndrome

  https://www.pharmacytimes.com/view/a-pharmacist-s-guide-to-the-management-of-polycystic-ovarian-syndrome

  In addition to medication recommendations and counseling, pharmacists can offer advice on diet, exercise, and weight management strategies to help mitigate symptoms associated with PCOS and reduce the risk of developing associated conditions such as type 2 diabetes mellitus and cardiovascular disease. […] Additionally, utilizing nonpharmacological options to address a patient’s PCOS symptoms can lead to a more sustainable resolution, significantly reducing health care costs while promoting overall well-being and quality of life.

• #97 Polycystic Ovary Syndrome | Penn State Health

  https://www.pennstatehealth.org/services-treatments/polycystic-ovary-syndrome

  With treatment, your PCOS symptoms can be managed, and you can experience a healthy pregnancy. Proper treatment also reduces your risk for high blood pressure, high cholesterol, obesity, diabetes and endometrial cancer conditions that are common in women with PCOS are more at risk. […] We help women effectively manage their PCOS symptoms and infertility issues by using the latest proven treatment protocols. Your treatment plan will be founded on your individual health needs and will combine a personalized diet and exercise plan with advanced medical treatments.

• #98 Polycystic Ovarian Syndrome (PCOS) Program > Departments > Yale Medicine

  https://www.yalemedicine.org/departments/polycystic-ovarian-syndrome-pcos-program

  For overweight or obese women with PCOS, lifestyle modifications focusing on diet and exercise can lead to significant improvements in menstrual cycles, acne, and mood. […] Treatment options for PCOS should be tailored to reduce symptoms (such as abnormal menstruation, acne, and excessive hair growth), address individual goals (such as fertility), and mitigate lifetime risks (such as diabetes, depression, heart disease, and uterine cancer). […] Our multidisciplinary PCOS program aims to address the physical and reproductive issues that commonly arise when patients have this condition.

• #99 Polycystic Ovary Syndrome (PCOS) | HealthLink BC

  https://www.healthlinkbc.ca/healthwise/polycystic-ovary-syndrome-pcos-0

  Regular exercise, healthy foods, and weight control are the key treatments for PCOS. Treatment can reduce unpleasant symptoms and help prevent long-term health problems. […] It’s important to see your doctor for follow-up to make sure that treatment is working. […] Early diagnosis and treatment may help prevent future problems.

• #100 Polycystic Ovary Syndrome | Penn State Health

  https://www.pennstatehealth.org/services-treatments/polycystic-ovary-syndrome

  With treatment, your PCOS symptoms can be managed, and you can experience a healthy pregnancy. Proper treatment also reduces your risk for high blood pressure, high cholesterol, obesity, diabetes and endometrial cancer conditions that are common in women with PCOS are more at risk. […] We help women effectively manage their PCOS symptoms and infertility issues by using the latest proven treatment protocols. Your treatment plan will be founded on your individual health needs and will combine a personalized diet and exercise plan with advanced medical treatments.

• #101 A Pharmacist’s Guide to the Management of Polycystic Ovarian Syndrome

  https://www.pharmacytimes.com/view/a-pharmacist-s-guide-to-the-management-of-polycystic-ovarian-syndrome

  In addition to medication recommendations and counseling, pharmacists can offer advice on diet, exercise, and weight management strategies to help mitigate symptoms associated with PCOS and reduce the risk of developing associated conditions such as type 2 diabetes mellitus and cardiovascular disease. […] Additionally, utilizing nonpharmacological options to address a patient’s PCOS symptoms can lead to a more sustainable resolution, significantly reducing health care costs while promoting overall well-being and quality of life.

• #102 Polycystic Ovary Syndrome – Harvard Health

  https://www.health.harvard.edu/a_to_z/polycystic-ovary-syndrome-a-to-z

  There is currently no way for most people to prevent polycystic ovary syndrome. […] Our understanding of problems relating to insulin resistance is improving rapidly, and some scientists are hopeful that we eventually will be able to prevent some cases of polycystic ovary syndrome if we can identify and treat insulin resistance in its earliest stages. […] Treatment for polycystic ovary disease can prevent complications such as uterine cancer. Because you have an increased risk of heart disease if you have this condition, it is very important that you avoid smoking, maintain a healthy exercise regimen and follow a healthy diet. […] Weight loss, diet and exercise are recommended for all women with polycystic ovary disease to prevent obesity and to help prevent heart disease and diabetes.

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