Hormonal
Lifestyle modification (diet and exercise) restores ovulation and reproductive potential in obese women with PCOS primarily through improved insulin sensitivity and reduced LH, independent of significant weight loss.
If you have PCOS and are struggling with infertility, focus on sustainable diet and exercise changes rather than rapid weight loss. Even small improvements in your diet and activity levels can significantly improve your insulin sensitivity and hormone balance, potentially restoring ovulation and pregnancy chances without needing to lose a large amount of weight.
We conclude that lifestyle modification without rapid weight loss leads to a reduction of central fat and improved insulin sensitivity, which restores ovulation in overweight infertile women with PCOS.
Why this rating
Prospective study with a control group, but small sample size (n=18).
Source
Restoration of Reproductive Potential by Lifestyle Modification in Obese Polycystic Ovary Syndrome: Role of Insulin Sensitivity and Luteinizing Hormone1
M.-M. Huber-Buchholz et al. · The Journal of Clinical Endocrinology & Metabolism · 1999
DOI 10.1210/jcem.84.4.5596
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