Polycystic ovary syndrome

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Lifestyle and home remedies

By Mayo Clinic staff

Low-fat, high-carbohydrate diets may increase insulin levels, so some health and nutrition advocates advise women with polycystic ovary syndrome to follow a low-carbohydrate diet. However, a diet that calls for increased protein to compensate for decreased carbohydrates may spike your intake of saturated animal fats typically found in red meat, elevating your blood cholesterol levels and increasing your risk of cardiovascular disease.

Choose complex carbohydrates
Carbohydrates provide many important nutrients, so don't severely restrict them. Instead, choose complex carbohydrates, which are high in fiber. The more fiber in a food, the more slowly it's digested and the more slowly your blood sugar levels rise. High-fiber carbohydrates include whole-grain breads and cereals, whole-wheat pasta, bulgur, barley, brown rice, and beans. Limit less healthy, simple carbohydrates such as soda, excess fruit juice, cake, candy, ice cream, pies, cookies and doughnuts.

Additional research may determine which specific dietary approach is best, but it's clear that losing weight by reducing total calorie intake benefits the overall health of women with polycystic ovary syndrome. Work with your doctor and registered dietitian to determine the best dietary plan for you.

Get your exercise
Exercise helps lower your blood sugar levels. For women with polycystic ovary syndrome, an increase in daily physical activity and participation in a regular exercise regimen are essential for treating or preventing insulin resistance and for helping weight-control efforts.

References
  1. Wilson EE. Polycystic ovarian syndrome and hyperandrogenism. In: Schorge JO, et al. Williams Gynecology. New York, N.Y.: McGraw-Hill Medical; 2008. http://www.accessmedicine.com/content.aspx?aid=3157034. Accessed June 22, 2009.
  2. Barbieri RL, et al. Clinical manifestations of polycystic ovary syndrome in adults. http://www.uptodate.com/home/index.html. Accessed June 22, 2009.
  3. Ehrmann DA. Polycystic ovary syndrome. New England Journal of Medicine. 2005;352:1223.
  4. Azziz RA, et al. The androgen excess and PCOS society criteria for the polycystic ovary syndrome: The complete task force report. Fertility and Sterility. 2009;91:456.
  5. Polycystic ovary syndrome (PCOS): Frequently asked questions. U.S. Department of Health and Human Services Office on Women's Health. http://www.4woman.gov/faq/pcos.pdf. Accessed June 16, 2009.
  6. Guzick DS. Polycystic ovary syndrome. Obstetrics & Gynecology. 2004;103:181.
  7. Radosh L. Drug treatments for polycystic ovary syndrome. American Family Physician. 2009;79:671.
  8. Barbieri RL, et al. Treatment of polycystic ovary syndrome in adults. http://www.uptodate.com/home/index.html. Accessed June 22, 2009.
  9. Tapanainen JS, et al. Effective regimens for ovulation induction in polycystic ovary syndrome. In: Dunaif A, et al. Polycystic Ovary Syndrome: Current Controversies, From the Ovary to the Pancreas. Totowa, N.J.: Humana; 2008:307.
  10. Gonzalez F (expert opinion). Mayo Clinic, Rochester, Minn. July 3, 2009.

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July 31, 2009

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