A Scoping Review of Ayurveda Studies in Women with Polycystic Ovary Syndrome

Rao, Vibhuti; Armour, Mike; Patwardhan, Kishor; Cheema, Birinder S; Smith, Caroline; Sharma, Rashmi; Ee, Carolyn

doi:10.1089/jicm.2022.0754

Cited by 5 publications

(1 citation statement)

References 75 publications

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“…(Chen and Pang, 2021) Complementary and alternative medicine (CAM) approaches have the potential to alleviate PCOS symptoms and are characterized by greater adaptability and patient-friendliness with a reduced likelihood of side effects. (Rao et al, 2023) A notable advantage of herbal treatment lies in its favorable safety profile, with fewer side effects in comparison to conventional pharmaceuticals. Furthermore, the presence of multiple bioactive compounds within medicinal herbs can augment their therapeutic efficacy, rendering them a promising alternative to traditional treatment modalities for addressing PCOS.…”

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confidence: 99%

Exploring The Therapeutic Potential Of Herbal Intervention In Polycystic Ovary Syndrome: A Systemic Review And Meta-Analysis

Chouhan,

Garg

2023

Migrat. Lett.

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Ethnopharmacological Relevance- PCOS is a hormonal disorder affecting women of reproductive age. Several studies have been carried out on the effect of herbal interventions in improving PCOS patients but these still have not been fully assessed. Aim of Study- This meta-analysis aimed to evaluate whether herbal interventions could promote reproductive health in women with PCOS while providing evidence-based herbal treatment for clinical practice. Material and Methods: This systematic review follows PRISMA guidelines, assessing herbal product’s efficacy for PCOS management. In this research, we identified 25 studies for the analysis, including 779 women with PCOS that were defined by using biochemical or ultrasound evidence and followed Cochrane criteria for Risk of Bias (ROB) across domains, considering 7 domains of risk. Meta-analysis utilized continuous data from 11 studies, focusing on substance use and externalizing symptoms, conducted through Review Manager (RevMan version 5.4) for 11 randomized control trials. Results: The forest plot analysis was conducted for Body Mass Index (BMI), hirsutism, insulin levels, blood glucose level, and follicular stimulating hormones (FSH) levels. We utilized a random-effects model to calculate mean differences and standard deviations using the Standard Mean Differen[1]ce (SMD) scale. For BMI, the overall effect size was -0.16 (CI -0.28 to -0.03), with significant individual study effect sizes. Hirsutism showed an overall effect size of -0.34 (CI -0.62 to -0.05). Insulin analysis revealed an overall effect size of -0.79 (CI -1.28 to -0.34), with two individual study effects favoring the experimental group. Analysis for fasting glucose had an overall value of -0.27(C.I -0.54 to 0.01) while for FSH it was -0.11(C.I -0.39 to 0.17). In each analysis, the forest plots demonstrated the benefits of herbal therapy in PCOS treatment. Conclusion: Herbal interventions are a promising therapeutic approach that can be employed in the management of PCOS patients

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Section: Introductionmentioning

confidence: 99%

Exploring The Therapeutic Potential Of Herbal Intervention In Polycystic Ovary Syndrome: A Systemic Review And Meta-Analysis

Chouhan,

Garg

2023

Migrat. Lett.

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Considerations in the Treatment of Depression and Anxiety in Women with PCOS

Alur-Gupta,

Dokras

2023

Semin Reprod Med

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Women with polycystic ovary syndrome (PCOS) are known to be at a greater risk of depression and anxiety. What is less clear is whether existing treatments for PCOS are effective in managing this increased risk and what the optimal approach to treatment is. In this review, currently available interventions are explored including lifestyle modifications, oral contraceptives, insulin sensitizing agents, psychosocial interventions and psychiatric medications. While data are often conflicting, lifestyle interventions, and cognitive behavioral therapy (CBT) appear most promising in reducing depression and anxiety symptoms in this population. There is an urgent need for large prospective studies to fill gaps in the literature.

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Use of traditional and complementary medicine by ethnic Indian women living with polycystic ovary syndrome: a global survey

Rao,

Armour,

Cheema

et al. 2023

BMC Complement Med Ther

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Background Traditional, complementary, and integrative medicine (TCIM) is commonly used by those living with Polycystic Ovary Syndrome (PCOS) but little is known about the use of TCIM such as yoga and Ayurveda in ethnic Indian women with PCOS living worldwide. This survey aimed to explore the prevalence and types of TCIM used and in particular the pattern of use of yoga and Ayurveda including reasons for not using and future interest in using them among non-users. Method An online, international cross-sectional survey was conducted using a pre-designed survey tool. Participants were ethnic Indian women of reproductive age who reported that they were medically diagnosed with PCOS. Descriptive analysis was used to identify the proportion of TCIM users, while a multivariable binary logistic regression was used to analyze their characteristics. Results Data from 3130 respondents were analysed. The prevalence of TCIM use was 80% (2515/3130). Yoga and Ayurveda were the most frequently practised TCIM modalities with a prevalence of 57% and 37% respectively. We found a high future interest in using yoga (81%) and Ayurveda (70%) among the non-users. The motivation for most Ayurveda use was a recommendation from family/friends (66%), rather than personal choice (38%) or the internet (19%). Most women used Ayurveda because it has natural ingredients (64%) and it is safe (60%) and cited its use to be safe and somewhat helpful. The majority of women were currently practising yoga (73%) up to four times a week (54%) at home (93%). Yoga was primarily used to improve overall health (67%), manage weight (64%), stress (54%) hormonal imbalance (49%) and emotional well-being (48%). Barriers to practising yoga were common among the current users and non-users and included lack of motivation (59% and 59%), time constraints (48% and 39%), and non-availability of yoga teachers specialised in PCOS (31% and 23%). Most women found yoga to be helpful and preferred individual one-on-one (52%) yoga sessions specifically tailored for PCOS (58%). Conclusion This is the first international study that discovered the prevalence and pattern of TCIM use among ethnic Indian women with PCOS living worldwide. We support the urgent need for more research, education, and regulation of different TCIM modalities to promote safe and effective practices globally.

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A Scoping Review of Ayurveda Studies in Women with Polycystic Ovary Syndrome

Cited by 5 publications

References 75 publications

Exploring The Therapeutic Potential Of Herbal Intervention In Polycystic Ovary Syndrome: A Systemic Review And Meta-Analysis

Exploring The Therapeutic Potential Of Herbal Intervention In Polycystic Ovary Syndrome: A Systemic Review And Meta-Analysis

Considerations in the Treatment of Depression and Anxiety in Women with PCOS

Use of traditional and complementary medicine by ethnic Indian women living with polycystic ovary syndrome: a global survey

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