Management of GERD, Obesity and PCOS Leading to Successful Conception Using the ‘Integrated Approach’

A. Mukerjee¹

Section:Research Paper, Product Type: Isroset-Journal
Vol.6 , Issue.1 , pp.141-144, Feb-2019

CrossRef-DOI:   https://doi.org/10.26438/ijsrbs/v6i1.141144

Online published on Feb 28, 2019

Copyright © A. Mukerjee . This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
 

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Abstract :
The purpose of this case study was to determine the effect of an Integrated Approach that included patient-specific nutritional therapy, Ayurveda and lifestyle modifications, on body weight and symptoms associated with polycystic ovary syndrome (PCOS). PCOS is a clinical condition common among women, characterized by menstrual irregularities, high androgen levels and cysts in one or both ovaries. It is also associated with metabolic disruptions such as insulin resistance, hypertension and dyslipidemia. Additionally, corpulence and obesity are concomitants that lead to exacerbation of symptoms in 50% of PCOS cases. The subject of this case study was a 32-year-old pre-obese female with a clinical history of PCOS, associated infertility, hypothyroidism, gastroesophageal reflux disease (GERD) and mild hair fall. She complained of low energy levels and high levels of stress and anxiety. During the 12-week treatment, the patient achieved weight loss, improved energy levels, relief from GERD, reduced anxiety and successful conception.

Key-Words / Index Term :
Integrated approach, PCOS, GERD, conception

References :
[1]. D.P. Baldani, L. Skrgatic, R. Ougouag, “Polycystic Ovary Syndrome: Important Underrecognised Cardiometabolic Risk Factor in Reproductive-Age Women”, International Journal of Endocrinology, Vol.2015, Article ID 786362, 17 pages, 2015.
[2]. The Rotterdam ESHRE/ASRM- Sponsored PCOS Consensus Workshop Group, “Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome”, Fertility and Sterility, Vol.81, Issue1, pp-19-25, 2004.
[3]. R. Singla, Y. Gupta, M. Khemani, S. Aggarwal, “Thyroid disorders and polycystic ovary syndrome: An emerging relationship”, Indian Journal of Endocrinology and Metabolism, Vol.19, Issue1, pp-25–29, 2015.
[4]. G. Kouklakis, J. Moschos, J. Kountouras, A. Mpoumponaris, E. Molyvas, G. Minopoulos, “Relationship between obesity and Gastroesophageal Reflux disease as recorded by 3-hour esophageal pH monitoring”, Romanian Journal of Gastroenterology, Vol.14, Issue2, pp-117-121, 2005.
[5]. C.C. Douglas, B.A. Gower, B.E. Darnell, F. Ovalle, R.A. Oster, R. Azziz, “Role of diet in the treatment of polycystic ovary syndrome”, Fertility Sterility, Vol.85, Issue3, pp-679–688, 2006.
[6]. G. Muscogiuri, B. Altieri, C. de Angelis, S. Palomba, R. Pivonello, A. Colao, F. Orio, “Shedding new light on female fertility: The role of vitamin D”, Reviews in Endocrine and Metabolic Disorders, Vol.18, Issue3, pp-273-283, 2017.
[7]. K.P.S. Kumar, D. Bhowmik, A. Dutta, A.P. Yadav, S. Paswan, S. Srivastava, L. Deb, “Recent Trends in Potential Traditional Indian Herbs Emblica officinalis and Its Medicinal Importance”, Journal of Pharmacognosy and Phytochemistry, Vol.1, pp-24-32, 2012.
[8]. C.D. Clark, B. Bassett, M.R. Burge, “Effects of kelp supplementation on thyroid function in euthyroid subjects”, Endocrine Practice, Vol.9, Issue5, pp-363-369, 2003.
[9]. S.P. Otta, R. Tomer, S. Ota, S.I. Kumari, R. Sannd, N. Vyas, R. Rana, R. Singhal, Bharti, N. Srikanth, “Clinical efficacy of Ayurvedic formulations Rajahpravartini Vati, Varunadi Kashaya and Kanchanar Guggulu in the management of Polycystic Ovary Syndrome: A Prospective, Open-label, Multicenter Study”, Journal of Research in Ayurvedic Sciences.,Vol.1, Issue2, pp-90-98, 2017.
[10]. P. Kaur, S. Mathur, M. Sharma, M. Tiwari, K.K. Srivastava, R. Chandra, “A biologically active constituent of Withania somnifera (Ashwagandha) with anti-stress activity”, Indian Journal of Clinical Biochemistry, Vol.16, Issue2, pp-195-198, 2001.
[11]. K.A. Marsh, K.S. Steinbeck, F.S. Atkinson, P. Petocz, J.C. Brand-Miller, “Effect of a low glycemic index compared with a conventional healthy diet on polycystic ovary syndrome”, American Journal of Clinical Nutrition,Vol.92, pp-83–92, 2010.
[12]. S. Pandey, S. Pandey, A. Maheshwari, S. Bhattacharya, “The impact of female obesity on the outcome of fertility treatment”, Journal of Human Reproductive Sciences, Vol.3, Issue2, pp-62–67, 2010.
[13]. G. Franik, K. Krysta, P. Madej, B. Gimlewicz-Pieta, B. Oslizlo, J. Trukawka, M. Olszanecka-Glinianowicz, “Sleep disturbances in women with polycystic ovary syndrome”, Gynecological Endocrinology, Vol.32, Issue12, pp-1014-1017, 2016.