Energy balance
Lifestyle modifications, specifically weight loss of 5-10% combined with regular exercise (150 min moderate or 75 min vigorous per week) and a diet rich in fiber/low in saturated fats and high-glycemic carbohydrates, are the preferred first-line therapy for managing Polycystic Ovary Syndrome (PCOS) symptoms and restoring ovulation.
For PCOS management, prioritize lifestyle changes over medication initially. Aim to lose 5-10% of your body weight through calorie restriction and a diet high in fiber and low in saturated fats and high-glycemic carbs. Incorporate 150 minutes of moderate or 75 minutes of vigorous exercise weekly. This approach is clinically proven to restore regular menstruation and reduce metabolic risks.
Lifestyle modifications and complementary and alternative medicines are preferred first-line therapy in many cases.
Why this rating
The paper cites multiple studies showing efficacy but notes it is a review of existing literature rather than a single new RCT.
Source
Polycystic Ovary Syndrome: A Comprehensive Review of Pathogenesis, Management, and Drug Repurposing
Hosna Mohammad Sadeghi et al. · International Journal of Molecular Sciences · 2022
DOI 10.3390/ijms23020583
More from this paper
- Drug repurposing using agents such as metformin (implied by insulin sensitizers), pioglitazone, empagliflozin, sitagliptin, liraglutide, statins (simvastatin, atorvastatin), and N-acetyl cysteine shows supporting data for managing PCOS by targeting insulin resistance, hyperandrogenism, and oxidative stress.Moderate
- Supplements including Vitamin D, Resveratrol, Alpha-lipoic acid, Omega-3, Berberine, Folic acid, Myoinositol (MI), and D-chiro-inositol (DCI) are effective adjunctive therapies for PCOS, improving insulin sensitivity, lipid profiles, and ovulation.Moderate
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