Exercise in PCOS

Introduction

RECOGNISED as the leading cause of anovulatory infertility, polycystic ovary syndrome (PCOS) affects 12–18% of reproductive-aged women.1

PCOS is a complex disorder with complications extending beyond infertility to include metabolic and psychological manifestations. 

Diagnosis requires at least two of the following characteristics: clinical or biochemical hyperandrogenism, anovulatory menstrual dysfunction and polycystic ovaries on ultrasound, in the absence of secondary causes. 

Although not required for diagnosis, insulin resistance is strongly implicated in the aetiology of PCOS underpinning both reproductive and cardiometabolic disturbances and is present independent of obesity. Obesity affects 30% of women with PCOS and increases complications.2, 3 Lifestyle change with or without weight loss improves clinical features, including insulin resistance. 

For

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