Weight Loss Helps Women
with Ovulation Problem
Weight loss appears to improve egg release
in obese women with polycystic ovary syndrome (PCOS), a disease
involving enlargement of the ovaries often associated with obesity,
menstrual problems, and infertility, new research shows. This
could increase their chances of becoming pregnant.
"The management of PCOS will be
increasingly complicated by the epidemic of obesity, clearly notable
in the overall population, but approaching 70 percent in the PCOS
population," lead author Dr. Kathleen M. Hoeger, from the University
of Rochester School of Medicine and Dentistry in New York stated.
As reported in the journal Fertility
and Sterility, Hoeger and her colleagues assessed the outcomes
of 38 obese PCOS patients who completed a 24-week program of diet
and exercise with or without the use of metformin, a diabetes
drug. Some of the women did not receive any special therapy and
served as a comparison group.
Patients in both diet and exercise
groups experienced significant reductions in body weight, whereas
patients in the comparison group did not. Of the two diet and
exercise interventions, the one that also used metformin therapy
was best at reaching the patients' weight loss goals.
Women who lost weight were nine
times more likely to experience regular ovulation than women who
did not lose weight, regardless of whether they used metformin.
Moreover, among those who took metformin, women who lost weight
were 16-times more likely to ovulate regularly than women who
didn't lose weight.
"Physicians should consider the
preliminary evidence that modest weight reduction may be as effective
as metformin for ovulation restoration," Hoeger concluded. However,
they should also recognize "that these data are preliminary in
nature and require validation from other trials."
SOURCE: Fertility and Sterility,
August 2004.
Reference
Source 89
August 27, 2004
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