Holistic approach in the management of PCOS: a pilot study of an online PCOS-reversal program

Authors

  • Manthan N. Mehta Department of Pharmacology, Topiwala National Medical College and BYL Nair Charitable Hospital, Mumbai, Maharashtra, India
  • Mahesh Jayaraman PCOS Expert Panel, Sepalika, Mumbai, Maharashtra, India
  • Sharda Agarwal PCOS Expert Panel, Sepalika, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20182890

Keywords:

Infertility, Integrative Medicine, Polycystic ovaries, Patient support

Abstract

Background: Polycystic ovary syndrome (PCOS) is a complex disorder that can be managed but not permanently cured. Each woman has her own PCOS symptoms and its own root causes. A number of medications are prescribed to women with PCOS. However, a holistic approach could be the best way forward in managing a disease as complex as PCOS. Authors conducted this pilot study called the Sepalika 5-petal PCOS reversal program which consisted of individualized diet plans, magnet acutherapy, fitness regimens, dietary supplements and herbal products to evaluate whether these interventions improve PCOS symptoms, insulin resistance and hyperandrogenism.

Methods: A total of 30 patients were recruited online from all parts of India using the PCOS symptom quiz. Various baseline investigations were performed at recruitment. They were suggested personalized diet plans, followed by exercise videos, magnetic acutherapy and herbal and micronutrient supplements. The program spanned over a period of 90 days and patients outlook and quality of life were also assessed at the end of the program.

Results: The main goal of most participants was improvement in weight and energy issues, and regularization of periods. Each of these goals were achieved in all participants of the program. Patient-reported outcomes showed a definite improvement in the quality of life of the participants at the end of 90 days.

Conclusions: PCOS is a physical - sexual, psychological and social syndrome; therefore, it is necessary to taking a more holistic approach to patient care beyond treating physical symptoms. Larger studies with more objective and subjective endpoints is the way forward.

Metrics

Metrics Loading ...

References

Arentz S, Abbott JA, Smith CA, Bensoussan A. Herbal medicine for the management of polycystic ovary syndrome (PCOS) and associated oligo/amenorrhoea and hyperandrogenism; a review of the laboratory evidence for effects with corroborative clinical findings. BMC Complement Altern Med. 2014;14:511.

Nidhi R, Padmalatha V, Nagarathna R, Amritanshu R. Effects of a holistic yoga program on endocrine parameters in adolescents with polycystic ovarian syndrome: a randomized controlled trial. J Altern Complement Med. 2013;19(2):153-60.

Pereira K, Kreider KE. Caring for women with polycystic ovary syndrome. Nurse Pract. 201712;42(2):39-47.

Phy JL, Pohlmeier AM, Cooper JA, Watkins P, Spallholz J, Harris KS, Berenson AB, Boylan M. Low starch/low dairy diet results in successful treatment of obesity and co-morbidities linked to polycystic ovary syndrome (PCOS). J Obesity Weight Loss Therapy. 2015;5(2).

Zheng Y, Stener-Victorin E, Ng EH, Li J, Wu X, Ma H. How does acupuncture affect insulin sensitivity in women with polycystic ovary syndrome and insulin resistance? Study protocol of a prospective pilot study. Br Med J open. 2015;5(4):e007757.

Bates GW Jr, Propst AM. Polycystic ovarian syndrome management options. Obstet Gynecol Clin North Am. 2012;39(4):495-506.

Crete J, Adamshick P. Managing polycystic ovary syndrome: what our patients are telling us. J Holist Nurs. 201;29(4):256-66.

Taghavi SA, Bazarganipour F, Hugh-Jones S, Hosseini N. Health-related quality of life in Iranian women with polycystic ovary syndrome: a qualitative study. Br Med C Women's Health. 2015;15(1):111.

Bates GW, Legro RS. Longterm management of Polycystic Ovarian Syndrome (PCOS). Mol Cell Endocrinol. 2013;373(1-2):91-7.

Farshchi H, Rane A, Love A, Kennedy RL. Diet and nutrition in polycystic ovary syndrome (PCOS): pointers for nutritional management. J Obstet Gynaecol. 2007;27(8):762-73.

Downloads

Published

2018-06-27

How to Cite

Mehta, M. N., Jayaraman, M., & Agarwal, S. (2018). Holistic approach in the management of PCOS: a pilot study of an online PCOS-reversal program. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 7(7), 2829–2833. https://doi.org/10.18203/2320-1770.ijrcog20182890

Issue

Section

Original Research Articles