Introduction. One of the main alterations of the polycystic ovary syndrome (PCOS) is the insulin-resistance (IR).Purpose. This study aimed to examine the effect of two different treatments on metabolic and endocrine variables in patients affected by PCOS.
Materials and methods. 80 patients affected by PCOS were enrolled for the study. They have been divided in two groups, on the basis of their treatment: D-chiro-inositol (DCI) (500 mg) + myoinositol (MI) (200 mg) + revifast® (80 mg) + folic acid (200 mcg) + manganese (5 mg) + vitamin D (12,5 mcg) per day in galenic formulation (A group) and D-chiro-inositol (500 mg) + myoinositol (200 mg) + lipoic acid (150 mg) + folic acid (200 mcg) + manganese (5 mg) per day (B group). Some clinical, biochemical, endocrine parameters were evaluated at baseline and after 6 months of observation.Results. The statistical analysis pointed out, after 6 months of treatment, a significant difference between the two groups in respect of: serum FSH (p = 0,001 vs p = 0,066), prolactin (p = 0,023 vs p = 0,878), DHEAS (p = 0,010 vs p = 0,004 vs p = 0,730). As compared with group B, in group A after 6 months of treatment there were statistically significant reductions of hirsutism (96 vs 68% respectively, p< 0,001) and acne (72 vs 62%, respectively p<0,001).
Conclusions. Our study suggested that the concomitant supplementation of revifast® and vitamin D in association with myoinositol and D-chiro-inositol can ameliorate endocrine features in patients affected by PCOS.RIASSUNTO: Effetti endocrini di due differenti trattamenti terapeutici in pazienti affette da sindrome dell'ovaio policistico.