
Main article: Treatment of Polycystic Ovary Syndrome Overview
Updated: 18-October-2024
Natural Treatment of Polycystic Ovary Syndrome
Doctors often recommend treating PCOS naturally first if they believe there is room for improvement. This strategy also helps later on if conventional treatment (i.e. medication) is still required.
Natural treatment options for women with PCOS include:
- Exercise
- Diet
- Losing weight
- Reduce stress
- Environmental
- Supplements
The actual treatment plan will depend greatly on any findings during initial examination and blood tests. Similarly, follow up blood tests and examination are also necessary to monitor (and adjust) the treatment plan.
Exercise
Exercise and being active is very important for women with PCOS. Early PCOS studies reported a link between physical inactivity, sedentary lifestyle and PCOS.1,2,3
Subsequent lifestyle modification studies reported a significant decrease in PCOS symptom severity which could reduce the need for medication or dosage levels for some women.4 Hence lifestyle modification (i.e. diet and exercise) is usually the first treatment option doctors recommend to women with PCOS.5
However exercise is reported to be more effective than diet at improving insulin levels.6 Exercise also decreases oxidative stress and inflammation, which directly improves ovary function and hormone levels.7,8
Among the various types of exercise, high-intensity interval training (HIIT) has the greatest impact on PCOS when compared to continuous aerobic exercise training (CAET), moderate-intensity continuous training (MICT) or resistance training.9,10 In one study, Benham et al. reported that HIIT significantly improved lipid profile (LDL, HDL, cholesterol) more than CAET, even though the reduction in BMI and waist circumference was similar.11 In a larger study, HIIT significantly improved sex hormone-binding globulin (SHBG), free androgen index (FAI), insulin sensitivity and menstrual cycles compared to MICT among overweight women with PCOS.12
HIIT also has a positive and long-lasting effect on anxiety and depression levels in women with PCOS.
Source: Santos I K, et al. (2022)
Significantly, Lionett et al. reported that the effect of HIIT is somewhat impaired in women with PCOS, suggesting metabolic inflexibility and a need for medication during lifestyle modification to maximise the effect of HIIT.13
Lastly, research also suggests that supervised exercise is more effective than self-regulated exercise long term (> 3 months) if that is a viable option.14
References
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