Effectiveness of Inositol Supplementation in Improving Ovulation Rates in PCOS
Keywords:
Polycystic Ovary Syndrome, Myo-Inositol, Ovulation, LH/FSH Ratio, Menstrual Irregularity, Hormonal Imbalance, Non-hormonal TherapyAbstract
Background: To evaluate the effectiveness of myo-inositol supplementation in enhancing ovulation rates and restoring menstrual regularity in women diagnosed with PCOS.
Methods: A prospective interventional study was conducted on 72 women with PCOS from July 2023 to September 2024. Participants received myo-inositol (2000 mg twice daily) with folic acid for 12 weeks. Baseline and post-treatment clinical, biochemical, and ultrasound parameters were recorded. Ovulation was confirmed through mid-luteal progesterone levels or ultrasound follicle monitoring. Pre- and post-treatment data were analyzed using paired t-tests and chi-square tests.
Results: Following inositol supplementation, 58.3% of participants achieved ovulation, and 65.3% reported regular menstrual cycles. There was a significant reduction in LH/FSH ratio and serum testosterone levels (p < 0.001). The therapy was well tolerated, with no major side effects reported.
Conclusion: Myo-inositol supplementation significantly improved ovulation and hormonal profiles in women with PCOS. It may serve as an effective and safe alternative for ovulation induction, particularly in those seeking non-hormonal treatment options.
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References
Greff D, Juhász AE, Vancsa S, Varadi A, Sipos Z, Szinte J, et al. Inositol is an effective and safe treatment in polycystic ovary syndrome: a systematic review and meta-analysis of randomized controlled trials. 2023;21(1):10.
Roseff S, Montenegro MJIjoe. Inositol treatment for PCOS should be science‐based and not arbitrary. 2020;2020(1):6461254.
Kamenov Z, Gateva AJM. Inositols in PCOS. 2020;25(23):5566.
Merviel P, James P, Bouée S, Le Guillou M, Rince C, Nachtergaele C, et al. Impact of myo-inositol treatment in women with polycystic ovary syndrome in assisted reproductive technologies. 2021;18(1):13.
Artini P, Malacarne E, Tomatis V, Genazzani AJErfm, sciences p. The relevance of inositols treatment for PCOS before and during ART. 2021;25(14):4799-809.
Sigue RJL, Decena DDJJoM, University of Santo Tomas. Efficacy of Myo-inositol in improving pregnancy rate and regulation of menstrual cycle for patients with polycystic ovarian syndrome: a systematic review and meta-analysis. 2022;6(2):979-98.
Zarezadeh M, Dehghani A, Faghfouri AH, Radkhah N, Naemi Kermanshahi M, Hamedi Kalajahi F, et al. Inositol supplementation and body mass index: A systematic review and meta‐analysis of randomized clinical trials. 2022;8(3):387-97.
Unfer V, Monastra G, Tilotta M, Forte G, Dinicola S. Inositols and other supplements in the management of PCOS. Polycystic Ovary Syndrome: Elsevier; 2022. p. 167-86.
Kutenaei MA, Teshnizi SH, Ghaemmaghami P, Eini F, Roozbeh NJERfM, Sciences P. The effects of myo-inositol vs. metformin on the ovarian function in the polycystic ovary syndrome: a systematic review and meta-analysis. 2021;25(7).
Facchinetti F, Unfer V, Dewailly D, Kamenov ZA, Diamanti-Kandarakis E, Laganà AS, et al. Inositols in polycystic ovary syndrome: an overview on the advances. 2020;31(6):435-47.
Nazari L, Salehpour S, Hosseini S, Saharkhiz N, Azizi E, Hashemi T, et al. Effect of myo-inositol supplementation on ICSI outcomes among poor ovarian responder patients: A randomized controlled trial. 2020;49(5):101698.
Mohammadi S, Eini F, Bazarganipour F, Taghavi SA, Kutenaee MAJRb, endocrinology. The effect of Myo-inositol on fertility rates in poor ovarian responder in women undergoing assisted reproductive technique: a randomized clinical trial. 2021;19(1):61.
Jethaliya H, Gajjar N, Patel V, Deshpande S, Patel RJRS. Efficacy of myo-inositol on anthropometric, metabolic, and endocrine outcomes in PCOS patients: a meta-analysis of randomized controlled trial. 2022;29(8):2282-98.
Zhang J-Q, Xing C, He BJERfM, Sciences P. Short period-administration of myo-inositol and metformin on hormonal and glycolipid profiles in patients with polycystic ovary syndrome: a systematic review and updated meta-analysis of randomized controlled trials. 2022;26(6).
Tabatabaie M, Amiri S, Golestan Jahromi M, Sene AA, Zandieh Z, Mehdizadeh M, et al. The effect of Myo-Inositol supplement on molecular regulation of folliculogenesis, steroidogenesis, and assisted reproductive technique outcomes in patients with polycystic ovarian syndrome. 2022;49(2):875-84.
Malik N, Dubey NJIJoR, Contraception, Obstetrics, Gynecology. Role of oral inositol supplementation in women with polycystic ovarian syndrome. 2021;10(12):4493-9.
Mendoza N, Galan MI, Molina C, Mendoza-Tesarik R, Conde C, Mazheika M, et al. High dose of d-chiro-inositol improves oocyte quality in women with polycystic ovary syndrome undergoing ICSI: a randomized controlled trial. 2020;36(5):398-401.
Advani K, Batra M, Tajpuriya S, Gupta R, Saraswat A, Nagar HD, et al. Efficacy of combination therapy of inositols, antioxidants and vitamins in obese and non-obese women with polycystic ovary syndrome: an observational study. 2020;40(1):96-101.
Kachhawa G, Senthil Kumar KV, Kulshrestha V, Khadgawat R, Mahey R, Bhatla NJIJoG, et al. Efficacy of myo‐inositol and d‐chiro‐inositol combination on menstrual cycle regulation and improving insulin resistance in young women with polycystic ovary syndrome: A randomized open‐label study. 2022;158(2):278-84.
Kamenov Z, Gateva A, Dinicola S, Unfer VJM. Comparing the efficacy of myo-inositol plus α-lactalbumin vs. Myo-inositol alone on reproductive and metabolic disturbances of polycystic ovary syndrome. 2023;13(6):717.
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