Lifestyle change weight loss and infertility
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Abstract id: 10339
Polycystic Ovary Syndrome (PCOS) is more than a fertility issue – Can lifestyle change and reducing weight solve the infertility problem?
Eckert-Krause M (Speaker)
1.9 Polycystic ovary syndrome
Obesity, irregular menstruation, fertility issues, and hair/skin problems as main-factors for PCOS don´t reflect every symptom of PCOS. Insulin resistance, hypercholesterolemia and reduced metabolism lead to far-reaching implications. Throughout a woman’s life, PCOS is present, actual without curing. Is normal weight important to conceive? Do endurance excercise play a major role in combination with optimal supply?
Effectiveness of weight reduction and lifestyle change on fertility. Method. Pilot-Case Study, DEBEC-Systematic (Diagnostics-Eating-Balance-Exercise-Coaching) steering physical activity, dietary change, holistic coaching. Period: 24 months, Endpoint: 15 kg weight-reduction and lifestyle-adaption.
Weight (kg) and girth of waist (cm), hip (cm), neck (cm), BMI, body fat (in %), waist-hip ratio (WHR). Blood test: hormonal status, cholesterol, triglyceride, fasten glucose. Review after 36, 48, 60, 72 months to emblaze sustainability of DEBEC-Method.
Case Study, diagnosed with PCOS, age 20, student, overweight 20 kg, high-level androgen and lipid profile, anovulation, acne, hirsutism, no insulin resistance, lifestyle deficits. Fewer sports, fast food user, fatigue and psychological issues e.g. less self-confidence Intervention. n.a.
After 24 month’s therapies: weight reduction 17.1 kg (11 kg within 12 months). Blood test: normal hormonal status (under birth control pill), normal blood sugar level but cholesterol and triglyceride are out of specification (OOS). Contraceptive: Try and Error with Birth Control pill related to side effects. Personal: motivated, full of energy, success within her studies. Psychological: learned accepting PCOS. Review after 36, 48, 72 months cholesterol was still OOS and weight was 61±2 kg (BMI 22.8±1.5). Review after 48 month showed a cycle from 21 to 44 days with ovulation signs as mucus in the middle of the cycle. With weight stability and BMI 23, she spontaneous conceived in review period 72.
Normal weight (BMI <25) and lifestyle change with standardized conditions increase requirements to ovulate and conceive. DEBEC-Methode® shows how an individual based therapy with defined modules and can be successful related to health risk reduction suitable for daily use. This Pilot Study also showed the importance of Coaching. Broader evidence based long-term studies necessary to fulfill individual requirements of PCOS-Patients with the DEBEC-Method.
You will be notified if your abstract has been accepted or not by January 10th 2020. I am still waiting…