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Abstract

Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that affects many women. It's characterized by an imbalance of reproductive hormones, which can lead to a variety of symptoms. One of the main features of PCOS is the presence of cysts on the ovaries, which can affect their ability to release eggs regularly. This can result in irregular menstrual cycles or even a lack of periods. PCOS can also cause excess production of androgens, which are male hormones. This hormonal imbalance can lead to symptoms like acne, excessive hair growth, and hair loss .In addition to these physical symptoms, PCOS can also have an impact on fertility .Women with PCOS may have difficulty getting pregnant due to irregular ovulation. It's important to note that not all women with PCOS will experience all of these symptoms, and the severity can vary from person to person. While the exact cause of PCOS is unknown, it is believed to involve a combination of genetic and environmental factors .There is currently no cure for PCOS, but there are treatment options available to manage the symptoms. These can include lifestyle changes such as diet and exercise, as well as medications to regulate hormones and improve fertility. Medications, including 3-hydroxy-3-methyl-3-glutaryl-coenzyme A (HMG-CoA) reductase inhibitors, thiazolidinediones, sodium-glucose cotransporter-2 inhibitors, dipeptidyl peptidase-4 inhibitors, glucose-like peptide-1 receptor agonists, mucolytic agents, and some supplements have supporting data for being repurposed in PCOS.It's important for women with PCOS to work closely with their healthcare provider to develop a personalized treatment plan. Regular check-ups and monitoring are crucial to manage the condition effectively . PCOS is an endocrine gynaecology disorder from childbearing age. If the PCOD/PCOS is not treat at the its critical stage it can be lead to permanent infertility. Clomifene and metformin are the drug of choice for this disease. some time PCOS shown glucose-induced hyperinsulinemia, insulin resistance and independent BMI. The insulin dependent glucose level can be decreases by 35-40%in case of PCOD affected women by comparing to normal healthy women. More than 2% of women are suffering to type 2 diabetes mellitus and almost 16% of women move from impaired glucose tolerance to type 2 diabetes mellitus. The incidence of PCOS with obesity is very complex although PCOS occurs both in obese and meta-analysis reveal that obesity more frequently.

Keywords

reproductive hormone , menstrual cycles , reductase inhibitors, (HMG-CoA), Polycystic, Clomifene, hyperinsulinemia

Reference

  1. Understanding polycystic ovary syndrome (PCOS):: symptoms, diagnosis, treatment and future directions TA Chakravorty - The Physician, 2023 - physicianjnl.net
  2. Physiology, Menstrual Cycle Dhanalakshmi K. Thiyagarajan; Hajira Basit; Rebecca Jean monod.
  3. Molecular determinants regulating the release of the egg during ovulation: Perspectives in piscine models Soumyajyoti Ghosh, Subhasri Bishwas, Sudipta Maitra..
  4. Chang, Hsun-Ming; Leung, Peter C.K.?. Physiological roles of activins in the human ovary.
  5. A Review of Tubal Factors Affecting Fertility and its Management Ketki Ambildhuke • Sandhya Pajai • Anjali Chimegave • Radhika Mundhada • Priyanka Kabra
  6. Polycystic Ovary Syndrome (PCOS) Imaging   Greg Marrinan, MD; Chief Editor: Eugene C Lin, MD
  7. Insulin resistance in patients with polycystic ovary. Annika K Schroder, Sascha Tauchert, Olaf Ortmann, Klaus Diedrich and Jurgen M Weiss
  8. "Overweight, obesity and central obesity in women with polycystic ovary syndrome: a systematic review and meta-analysis." Lim, Siew S., et al.
  9. "Polycystic ovarian syndrome and infertility: overview and insights of the putative treatments."Collée, Julie, Marie Mawet, Linda Tebache, Michelle Nisolle, and Géraldine Brichant.
  10. Polycystic ovary syndrome: the influence of environmental and genetic factorsant. Diamanti-Kandarakis, E., Piperi, C., Argyrakopoulou, G., Spina, J., Papanastasiou, L., Bergiele, A., & Panidis.
  11. https://www.unicef.org/india/stories/do-pcod-and-pcos-mean-same-thing-or-are-they-different
  12. White DM, Polson DW, Kiddy D, et al. Induction of ovulation with low-dose gonadotropins in polycystic ovary syndrome : an analysis of 109 pregnancies in 225 women. J Clin Endocrinol Metab. 1996 ;81 :3821–3824. [PubMed] [Google Scholar].
  13. Greenblatt RB, Barfield WE, Jungck EC, Ray AW. Induction of ovulation with MRL. JAMA. 1960 ;178 :101–105. [PubMed] [Google Scholar].
  14. Balen AH, Laven JS, Tan SL, Dewailly D. Ultrasound assessment of the polycystic ovary : international consensus definitions. Hum Reprod Update. 2003 ;9 :505–514. [PubMed] [Google Scholar].
  15. Lujan ME, Chizen DR, Peppin AK, Dhir A, Pierson RA. Assessment of ultrasonographic features of polycystic ovaries is associated with modest levels of inter-observer agreement. J Ovarian Res. 2009 ;2 :6. [PMC free article] [PubMed] [Google Scholar]
  16. Howkins and Bourne, Shaw’s Textbook of Gynaecology, edited by Sunesh kumar, et al, 17th edition, Elsevier RELX India Limited, Page.no. 317.Prof. Tewari Premvati,
  17. Srikantha Mruthi K.R. Sushruta Samhita (English Translation) Chaukambha Orientale. Varanasi : 2001. Pp. 170–173. [Google Scholar]
  18. Tewari P.V. Ayurveda Prasuti Tantra Evam Stri Roga, Stri Roga, Chaukambha Orientale. Varanasi : 1996. P. 169. (192). Part-II. [Google Scholar]
  19. Sharma P.V. Charaka Samhita (English Translation) Chaukambha Orientalia. Varanasi : 1981. [Google Scholar]
  20. Ayurveda Management of Poly Cystic Ovarian Disease (PCOD) – A Case ReportMamta Hooda PG Scholar, Dept. Of Shalakya Tantra, ITRA , Jamnagar, Gujarat, India Bishan Kumar Ayurveda Consultant at Ocean Healing Centre, Karnal, Haryana. India
  21. Carmina, E. ; Koyama, T. ; Chang, L. ; Stanczyk, F.Z. ; Lobo, R.A. Does ethnicity Influence the prevalence of adrenal hyperandrogenism and insulin resistance in polycystic ovary syndrome. Am. J. Obs. Gynecol. 1992, 167, 1807–1812. [Google Scholar] [CrossRef] [PubMed]
  22. H.S.S. Paradakara (Ed.), Ashtangahridaya of vagbhata, Sutrasthana ; annaswarupa vignaniya : chapter 6 ; verses 159, Chaukhamba Samskrithasamsthan, Varanasi (2017), p. 118 Google Scholar.
  23. P.S. Vidyasagar (Ed.), SharngadharaSamhitha of sharngadhara, madhyama khanda ; gutika kalpana : chapter 7 ; verses 82-83, Krishnadas Ayurveda Series, Chaukhamba Krishnadas Academy, Varanasi (2013), p. 203 .Google Scholar
  24. Ayurvedic treatment of polycystic ovary syndrome (PCOS) Review Article Author Details : Deepak Kumar, Ravi Kumar*, Vipin Kumar Garg, Sayed Salman ali Volume : 4, Issue : 1, Year : 2021 Article Page : 6-9.
  25. Terms and thresholds for the ultrasound evaluation of the ovaries in women with hyperandrogenic anovulation Martina Kollmann et al. Hum Reprod Update. 2014 May-Jun.
  26. Medical therapy in women with polycystic ovarian syndrome before and during pregnancy and lactation N Goldenberg et al. Minerva Ginecol. 2008 Feb.
  27. Allahbadia GN, Merchant R. Polycystic ovary syndrome and impact on health. Middle East Fertil Soc J. 2014;16(1):19–37.
  28. Women's Health: 7 Incredible Herbs For Managing PCOS Naturally - Netmeds https://m.netmeds.com/health-library/post/womens-health-7-incredible-herbs-for-managing-pcos-naturally.
  29. Moini Jazani A., Nasimi Doost Azgomi H., Nasimi Doost Azgomi A., Nasimi Doost Azgomi R. A comprehensive review of clinical studies with herbal medicine on polycystic ovary syndrome (PCOS) J Fac Pharm, Tehran Univ Med Sci. 2019;27:863–877. doi: 10.1007/s40199-019-00312-0. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
  30. Syndrome P.O., Lecturer S. A randomized clinical trial to evaluate the efficacy of satapushpashatavari powdered drug with satapushpa-shatavari grita for the management of polycystic ovary syndrome (Pcos) Int J Pharma Sci Res. 2018;9:2494–2499. doi: 10.13040/IJPSR.0975-8232.9(6).2494-99. [CrossRef] [Google Scholar]
  31. Trikramji Y. Chaukhamba Sansrit Sansthana; Varanasi: 2015. Sutrasthana. Charaka samhita. 2015th; p. 108. [Google Scholar]
  32. Paoli A, Mancin L, Giacona MC, et al. Effects of a ketogenic diet in overweight women with polycystic ovary syndrome. Journal of Translational Medicine. 2020;18:104. [PMC free article] [PubMed] [Google Scholar]
  33. Kazemi M, Jarrett BY, Vanden Brink H, et al. Obesity, Insulin Resistance, and Hyperandrogenism Mediate the Link between Poor Diet Quality and Ovarian Dysmorphology in Reproductive-Aged Women. Nutrients. 2020;12:1953. [PMC free article] [PubMed] [Google Scholar]
  34. Melo AS, Ferriani RA, Navarro PA. Treatment of infertility in women with polycystic ovary syndrome: approach to clinical practice. Clinics (Sao Paulo, Brazil) 2015;11:765–769. [PMC free article] [PubMed] [Google Scholar]
  35. Dietary Patterns and Polycystic Ovary Syndrome: a Systematic Review Maria XENOU and Kleanthi GOUROUNTI.
  36. Stamets K, Taylor DS, Kunselman A, Demers LM, Pelkman CL, Legro RS. A randomized trial of the effects of two types of short-term hypocaloric diets on weight loss in women with polycystic ovary syndrome. Fertil Steril. 2004;81(3):630–637. doi: 10.1016/j.fertnstert.2003.08.023. [PubMed] [CrossRef] [Google Scholar].
  37. Metformin for treatment of the polycystic ovary syndrome AUTHORS:Robert L Barbieri, MDDavid A Ehrmann, MDSECTION EDITORS:Peter J Snyder, MDWilliam F Crowley, Jr, MDDEPUTY EDITOR:Kathryn A Martin, MD.
  38. Spironolactone for Hirsutism in Polycystic Ovary Syndrome Natalie A Christy nchristy@utmem.edu, Andrea S Franks, and L Brian CrossView all authors and affiliations Volume 39, Issue 9
  39. Clomiphene Citrate Versus Metformin as First-Line Approach for the ... https://academic.oup.com/jcem/article/92/9/3498/2597694.
  40. Letrozole for patients with polycystic ovary syndrome A retrospective study Guang, Hui juan MBa; Li, Feng MBb; Shi, Jun MBc,?Editor(s): Zhang., Qinhong.
  41. PCOS diet: Foods to eat and avoid - Medical News Today https://www.medicalnewstoday.com/articles/323002

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Sanket Daud
Corresponding author

Nandkumar shinde college of pharmacy

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Sayali Shinde
Co-author

Nandkumar shinde college of pharmacy

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Sayali Petare
Co-author

Nandkumar shinde college of pharmacy

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Santosh Kande
Co-author

Nandkumar shinde college of pharmacy

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Anil B Jadhav
Co-author

Nandkumar shinde college of pharmacy

S. S. Daud*, S. S. Shinde, S.R. Petare, S. D. Kande ,A.B.Jadhav., Managing PCOS: Treatment options and lifestyle strategies, Int. J. in Pharm. Sci., 2023, Vol 1, Issue 12, 404-415. https://doi.org/10.5281/zenodo.10389767

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