The effect of nutrient supplementation in the management of polycystic ovary syndrome-associated metabolic dysfunctions: A critical review

Abstract

Polycystic ovary syndrome (PCOS) is complex heterogeneous disorder that has several aspects in terms of pathology such as metabolic,endocrine, reproductive, and psychological. However, the etiology of PCOS remains poorly understood. Several studies suggest that insulinresistance and hyperandrogenism play a central role in the progression of PCOS pathophysiology. Therefore, common treatment strategies ofPCOS are based on lifestyle modification, which include exercise, diet, and nutrient supplementation therapy. Recent studies have recommendedsome nutrients such as vitamins, minerals, and vitamin-like nutrients for the therapy of PCOS because each has at least one functional propertyin PCOS-induced pathways. Therefore, it is claimed that the cause of PCOS could be vitamin or mineral deficiency. This review aims to provide acritical literature survey on nutritional supplementation for the treatment of PCOS-associated endocrine and metabolic dysfunctions and discussthe role of nutrients in the management of PCOS in view of the clinical trials and experimental studies. (J Turk Ger Gynecol Assoc 2018; 19: 220-32)