Among women of reproductive age, PCOS is the most prevalent endocrinopathy (hormonal condition) and the main cause of WHO Type II anovulation. Moreover, Type 2 diabetes, metabolic syndrome, cardiovascular disease, and endometrial cancer are all longer-term effects of PCOS. Hence, it is essential to treat these women while taking into account their current symptomology, long-term health, and potential reproductive objectives. For PCOS patients, especially obese patients, lifestyle change is still the first line of treatment. Even a 5% weight loss has been shown to improve blood sugar levels, insulin resistance, and lipid profiles as well as metabolic disturbances like ovulation restoration. All women with PCOS can benefit from regular exercise because insulin resistance is now understood to be the primary metabolic aberration in PCOS, especially in those with the lean-phenotype.
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