Efficacy of Lifestyle Modification in Pcos Patients with Obesity

Abstract

Polycystic Ovarian Syndrome (PCOS) is an endocrine dysfunction that often occurs in women of reproductive age. The causes of PCOS are still not fully understood. Diagnosis and management of PCOS is still a challenge. The management of PCOS patients so far has only focused on medical treatment. Lifestyle changes including nutrition interventions, exercise, elimination of psychosexual stressors are recommended as line therapy in PCOS patients with obesity.This study aims to evaluate the efficacy of lifestyle modification in patients diagnosed with PCOS with obesity in Demak.This interventional study recruited PCOS women in Demak who met the inclusion requirements after being informed. Then, the patient is given education on lifestyle modification, including exercise and monitoring of diet for sixteen weeks through direct meetings or through WhatsApp groups. The variables measured in this study were body mass index, menstrual cycle regularity, waist circumference, and ovulation phase, and fertility. The result of this study showed that there was a significant improvement on menstrual regularity (p<0.005), waist circumference (p<0.005), fertility (p<0.005), and dominant follicle (p<0.005) after lifestyle modification. However, the body mass index of the patients do not show any significant improvement (p>0.005). Lifestyle modification may improve menstrual regularity, waist circumference, ovulation phase, and fertility with PCOS. We are uncertain of the effect of lifestyle intervention on BMI