Comprehensive Management of Polycystic Ovary Syndrome: The Role of Metformin in Addressing Metabolic and Endocrine Dysregulation

Background: Polycystic Ovary Syndrome (PCOS) is a prevalent endocrine and metabolic disorder that affects women of reproductive age, characterized by hormonal imbalances, insulin resistance, and a range of clinical manifestations, including infertility and metabolic disturbances. Effective manageme...

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Main Authors: Martyna Kaźmierczak, Jakub Parys, Agnieszka Mikosińska, Patrycja Kałuziak, Marta Jajaczak, Maciej Mossakowski, Aleksandra Witek, Mateusz Litwin, Stanisław Jesionek
Format: Article
Language:English
Published: Kazimierz Wielki University 2025-01-01
Series:Journal of Education, Health and Sport
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Online Access:https://apcz.umk.pl/JEHS/article/view/57421
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author Martyna Kaźmierczak
Jakub Parys
Agnieszka Mikosińska
Patrycja Kałuziak
Marta Jajaczak
Maciej Mossakowski
Aleksandra Witek
Mateusz Litwin
Stanisław Jesionek
author_facet Martyna Kaźmierczak
Jakub Parys
Agnieszka Mikosińska
Patrycja Kałuziak
Marta Jajaczak
Maciej Mossakowski
Aleksandra Witek
Mateusz Litwin
Stanisław Jesionek
author_sort Martyna Kaźmierczak
collection DOAJ
description Background: Polycystic Ovary Syndrome (PCOS) is a prevalent endocrine and metabolic disorder that affects women of reproductive age, characterized by hormonal imbalances, insulin resistance, and a range of clinical manifestations, including infertility and metabolic disturbances. Effective management of PCOS remains a challenge due to its multifaceted nature, necessitating a comprehensive understanding of therapeutic options. Aim of the Study: This paper aims to explore the role of various treatment modalities for PCOS, with a particular emphasis on the use of metformin, an antidiabetic medication increasingly recognized for its benefits in managing insulin resistance and other associated conditions in PCOS patients. Conclusion: The findings highlight metformin's three primary mechanisms of action: enhancing insulin sensitivity, inhibiting hepatic gluconeogenesis, and influencing lipid metabolism. Metformin is effective in improving metabolic parameters and restoring ovulatory function in women with PCOS. While it is a cornerstone of therapy, the management of PCOS requires a tailored approach that considers individual clinical symptoms and phenotypes. Additional therapeutic strategies, including non-pharmacological measures and other pharmacological agents, play a vital role in a comprehensive treatment plan for PCOS.
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institution Kabale University
issn 2391-8306
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publishDate 2025-01-01
publisher Kazimierz Wielki University
record_format Article
series Journal of Education, Health and Sport
spelling doaj-art-577f9e81d78c4c61a37c68dceafdfabb2025-01-08T08:16:38ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062025-01-017710.12775/JEHS.2025.77.56421Comprehensive Management of Polycystic Ovary Syndrome: The Role of Metformin in Addressing Metabolic and Endocrine DysregulationMartyna Kaźmierczak0https://orcid.org/0009-0007-7798-0069Jakub Parys1https://orcid.org/0009-0009-1955-7865Agnieszka Mikosińska2https://orcid.org/0009-0003-0891-9089Patrycja Kałuziak3https://orcid.org/0009-0008-0976-1523Marta Jajaczak4https://orcid.org/0009-0009-6000-7769Maciej Mossakowski5https://orcid.org/0009-0008-0423-2083Aleksandra Witek6https://orcid.org/0009-0002-1214-2199Mateusz Litwin7https://orcid.org/0009-0006-5131-1863Stanisław Jesionek8https://orcid.org/0009-0004-6026-702XCentral Clinical Hospital of Medical University of Lodz, ul. Pomorska 251, 92-213 Łódź, PolandCentral Clinical Hospital of Medical University of Lodz, ul. Pomorska 251, 92-213 Łódź, PolandCentral Clinical Hospital of Medical University of Lodz, ul. Pomorska 251, 92-213 Łódź, PolandCharles Jonscher Medical Center, ul. Milionowa 14, 93-113 Łódź, PolandUniversity Clinical Hospital No.2 of Medical University of Lodz, ul. Żeromskiego 113, 90-549 Łódź, PolandCentral Clinical Hospital of Medical University of Lodz, ul. Pomorska 251, 92-213 Łódź, PolandCentral Clinical Hospital of Medical University of Lodz, ul. Pomorska 251, 92-213 Łódź, PolandUniversity Clinical Hospital No.2 of Medical University of Lodz, ul. Żeromskiego 113, 90-549 Łódź, Poland Pabianice Medical Center Sp. o.o., ul. Jana Pawła II 68, 95-200 Pabianice, Poland Background: Polycystic Ovary Syndrome (PCOS) is a prevalent endocrine and metabolic disorder that affects women of reproductive age, characterized by hormonal imbalances, insulin resistance, and a range of clinical manifestations, including infertility and metabolic disturbances. Effective management of PCOS remains a challenge due to its multifaceted nature, necessitating a comprehensive understanding of therapeutic options. Aim of the Study: This paper aims to explore the role of various treatment modalities for PCOS, with a particular emphasis on the use of metformin, an antidiabetic medication increasingly recognized for its benefits in managing insulin resistance and other associated conditions in PCOS patients. Conclusion: The findings highlight metformin's three primary mechanisms of action: enhancing insulin sensitivity, inhibiting hepatic gluconeogenesis, and influencing lipid metabolism. Metformin is effective in improving metabolic parameters and restoring ovulatory function in women with PCOS. While it is a cornerstone of therapy, the management of PCOS requires a tailored approach that considers individual clinical symptoms and phenotypes. Additional therapeutic strategies, including non-pharmacological measures and other pharmacological agents, play a vital role in a comprehensive treatment plan for PCOS. https://apcz.umk.pl/JEHS/article/view/57421Polycystic Ovary Syndrome (PCOS)insulin resistancehyperandrogenismRotterdam criteriametforminlifestyle interventions
spellingShingle Martyna Kaźmierczak
Jakub Parys
Agnieszka Mikosińska
Patrycja Kałuziak
Marta Jajaczak
Maciej Mossakowski
Aleksandra Witek
Mateusz Litwin
Stanisław Jesionek
Comprehensive Management of Polycystic Ovary Syndrome: The Role of Metformin in Addressing Metabolic and Endocrine Dysregulation
Journal of Education, Health and Sport
Polycystic Ovary Syndrome (PCOS)
insulin resistance
hyperandrogenism
Rotterdam criteria
metformin
lifestyle interventions
title Comprehensive Management of Polycystic Ovary Syndrome: The Role of Metformin in Addressing Metabolic and Endocrine Dysregulation
title_full Comprehensive Management of Polycystic Ovary Syndrome: The Role of Metformin in Addressing Metabolic and Endocrine Dysregulation
title_fullStr Comprehensive Management of Polycystic Ovary Syndrome: The Role of Metformin in Addressing Metabolic and Endocrine Dysregulation
title_full_unstemmed Comprehensive Management of Polycystic Ovary Syndrome: The Role of Metformin in Addressing Metabolic and Endocrine Dysregulation
title_short Comprehensive Management of Polycystic Ovary Syndrome: The Role of Metformin in Addressing Metabolic and Endocrine Dysregulation
title_sort comprehensive management of polycystic ovary syndrome the role of metformin in addressing metabolic and endocrine dysregulation
topic Polycystic Ovary Syndrome (PCOS)
insulin resistance
hyperandrogenism
Rotterdam criteria
metformin
lifestyle interventions
url https://apcz.umk.pl/JEHS/article/view/57421
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