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Research and Reports in Gynecology and Obstetrics | Volume 3
November 14-15, 2019 | Singapore
Obstetrics and Gynecology
4
th
International Conference on
Promoting demedicalization of management of PCOS in gynecology OPDs through
nonmedicinal lifestyle modification regimes – an experience from PGI Chandigarh,
India
Singh AJ
PGIMER, India
Q
uality of life (QOL) of the PCOS patients is poor due to
its symptoms. Medicinal treatment for PCOS is not very
effective. There is evidence that diet, exercise and lifestyle
changes provide relief in PCOS cases. This presentation shares
the evidence obtained through an RCT on the effectiveness
of two lifestyle modification regimen on QOL of PCOS cases
recruited from Gynecology OPD of PGIMER, India. One group
of patients were counselled on diet and exercise along with
probiotic administration. In second group placebo replaced
probiotics. Majority of PCOS cases had obesity, hirsutism,
abnormal menstruation, USG changes of polycystic ovaries,
hyperinsulinemia, unhealthy lifestyle, more consumption
of junk food, low physical activity and uncontrolled eating
behavior. Both the interventions were effective. Diet and
exercise alone were effective in improving the LH levels and
LH to FSH ratio. Mean LH to FSH ratio reduced significantly
more in the probiotic group. Probiotic supplementation had
an overall additional benefit in reducing the abdominal fat,
LH:FSH ratio, total testosterone, LPS level and menstrual
regularity and in preserving gut motility. In probiotic group,
menstrual regularity was attained in 31.3% girls as compared
to12.2% inplacebo group. In35%subject’s normal ultrasound
was attained in probiotic group as compared to 18.2% in
the placebo group. Both the groups reported significant
improvement in QOL.Thus, simple change in lifestyle involving
self-care supported by probiotic intake can easily cure PCOS
without consuming hormonal pills.
e
:
dramarjeet56@gmail.comRes Rep Gynaecol Obstet, Volume:3
DOI: 10.35841/2591-7366-C3-009