Polycystic ovarian syndrome and/or metabolic syndrome Nutritional, Metabolic, Endocrine
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Female 2. Age 18-65 3. Triglycerides =150 mg/dl 4. HDL 88cm 8. Index of Ferriman & Gallway score >6 9. Hyperandrogenemia and hyperinsulinemia 10. Presence of 12 or more follicles in each ovary measuring 2-9 mm in diameter, and increased ovarian volume (>10 ml)
Exclusion criteria
Exclusion criteria: 1. Suffer from other causes of hyperandrogenism (e.g. Cushing's syndrome, congenital adrenal hyperplasia, androgen secreting tumors 2. Are pregnant, or suspected to be pregnant 3. History of liver or kidney pathologies 4. History of psychotic illness 5. Present with current and major depression 6 History of cardiovascular diseases 7. Regular consumption of micronutrient and/or herbal and/or polyphenol supplements known to have an impact on insulin sensitivity/secretion and/or vascular/endothelial function
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Timepoint measures: Baseline (T0); 8 weeks (T1); 16 weeks (T2); 24 weeks (T3): 1. Ovulatory dysfunction, menstrual frequency and variability of cycle length (amenorrhea; dysmenorrhea) measured using menstrual diary data. 2. The Ferriman–Gallwey score (hirsutism) measured using the Ferriman-Gallwey questionnaire. 3. Pelvic ultrasound to measure ovarian volume and number and volume of follicles. 4. Lipid profile (total cholesterol, LDL, HDL, and triglycerides) measured using traditional enzymatic methods. 5. Glycemic and insulinemic index curves. 6. Measurements of: 17-hydroxyprogesterone (17-OHP); sex hormone binding globulin (SHBG); dihydrotestosterone (DHT); 3 alpha-Androstanediol glucuronide (3 alpha diol-G); luteinizing hormone (LH); Follicle-stimulating hormone (FSH); prolactin (PRL); Dehydroepiandrosterone sulfate (DHEA-S); Thyroid-stimulating hormone (TSH) reflex measured using ELISA. | — |
Secondary
| Measure | Time frame |
|---|---|
| Timepoint measures: Baseline (T0); 8 weeks (T1); 16 weeks (T2); 24 weeks (T3): 1. Weight, BMI, waist-hip ratio. 2. Polycystic Ovary Syndrome Questionnaire. 3. Treatment safety: liver and kidney function tests and the frequency, severity and nature of adverse events. 4. Adherence to study protocol. 5. Reasons for loss to follow-up. | — |
Countries
Italy