Recent Advances in the Management of Polycystic Ovary Syndrome: A Review Article.

combined oral contraceptive pills hyperandrogenism lifestyle interventions menstrual irregularity pcos

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Aug 2022
Historique:
received: 13 06 2022
accepted: 04 08 2022
entrez: 8 9 2022
pubmed: 9 9 2022
medline: 9 9 2022
Statut: epublish

Résumé

Polycystic ovarian syndrome (PCOS) is an endocrine disorder. This condition is characterized by chronic anovulation and ovarian dysfunction, unlike other ovulation disorders when the ovaries are non-functional or abnormal. Currently, most therapy is centred on the patient's primary complaint. Treatment focuses on reducing hyperandrogenism symptoms, restoring menstrual regularity, and achieving conception. In treating infertility caused by polycystic ovarian syndrome, letrozole (an aromatase inhibitor) appears to be more successful than clomiphene citrate (an anti-estrogen and a reference infertility drug). When provided by a multidisciplinary team, it can help patients maintain appropriate lifestyle changes, such as reducing body fat, increasing metabolism, and enhancing reproductive health. Compound oral contraceptives are the most common kind of androgen inhibitor and are the preferred therapy for menstrual disruption in PCOS patients who do not want to get pregnant. Weight loss should be prioritized for women with PCOS since a healthy, balanced diet combined with regular exercise can boost metabolism, increase insulin sensitivity, and aid weight loss safely. This will improve their physical health. Other than reproductive symptoms, PCOS symptoms include insulin resistance (IR), metabolic syndrome (MS), and chronic low-grade inflammation. Our understanding of the pathophysiological process, diagnosis, and therapy of PCOS has advanced recently.

Identifiants

pubmed: 36072214
doi: 10.7759/cureus.27689
pmc: PMC9440853
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

e27689

Informations de copyright

Copyright © 2022, Akre et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Shivani Akre (S)

Internal Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Kapil Sharma (K)

Internal Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Swarupa Chakole (S)

Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Mayur B Wanjari (MB)

Community Health Nursing, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Classifications MeSH