The Holistic prevention, management and treatment of Polycystic Ovarian Syndrome:The Life Style Modification(Part II) In TCM

By Kyle J. Norton
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
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Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.


       Polycystic Ovarian Syndrome

Polycystic Ovarian Syndrome is defined as endocrinologic diseases among reproductive-age women caused by undeveloped follicles clumping on the ovaries that interferes with the function of the normal ovaries associated with a high risk for metabolic disorder(1) as resulting of enlarged ovaries(2), leading to hormone imbalance(excessive androgen and anti-müllerian hormone (AMH) )(1)(3)(4)(5), induced Hirsutism(6)(7), reproductive disorder(10(12)), risks of type 2 diabetes(9)(10)(11), metabolic syndrome(10)(12) and early cardiovasular disease(8)(13), acne(10)(14), endometrial cancer(18)(19),weight gain and obesity(15)(16)(17). The syndrome effects over 5% of women population or 1 in 20 women.
Unfortunately, according to studies, women with PCOs after the reproductive age, are associated to  continuously increase risk of type II diabetes, with no increasing altered glucose tolerance(20), CVD and hypertension(21).

     In Traditional Chinese Perspective
While conventional medicine focus of using synthetic medication to induce ovulation and assisted artificial insemination for infertility couple, if the medicine fail, traditional Chinese medicine views polycystic ovarian syndrome in different approaches.

Polycystic ovary syndrome, according to traditional Chinese medicine is a medical condition characterized by accumulative of fluid over a prolonged period of time causes of dampness and phlegms(1247a)(1247b) build up on the ovaries due to the effects of vary differentiations, affecting not only the women’s menstrual cycle, but also ovulation and fertility(1247a)(1247b).
 

The Dietary Suggestion, Life Style Modification and Nutritional Supplements according to TCM
  According to Angela Warburton(1249), a doctor of Traditional Chinese Medicine practicing in Toronto, Canada, incorporating the proper dietary and lifestyle modifications, may make a BIG difference in the long-term treatment of PCOs(1249).

6. Avoid soft drink(soda), sugar-sweetened fruit juice and energy drink
According to the article "An Unintended Consequence Of Diet Soda: Disrupting Friendly Bacteria And Raising Blood Sugar" by Faye Flam, diet Soda due to high content of artificial sweetener may disturb the internal ecosystem and raised blood sugar, thus defeating the purpose of these products by increasing risk for type 2 diabetes and obesity(1299).(See artificial sweetener for more information).
In a study of participants of 27,585 Japanese men and women aged 40-59 years who had no prior history of diabetes, intakes of soft drink was associated to increased risk of type 2 diabetes(1300).
Sugar-sweetened fruit juice, not 100% fruit juice is associated to risk of incidence of type 2 diabetes, according to 4 studies with a 191,686 participants, including 12,375 with type 2 diabetes(1301).
Energy drink has shown negatively effect on central nervous system, inducing jitteriness, nervousness, dizziness, the inability to focus, difficulty concentrating, and insomnia(1302) and heightened alertness, altered sleep patterns, arrhythmias and, rarely, seizures(1303).

7. Avoid milk and dairy products (cheese and yogurt)
According to traditional Chinese medicine, milk and dairy products are considered as "very cold and damp foods" in nature, as they can overload the digestive system, inducing production of phlegm, the main cause of PCOs(1304)(1305)(1306). Replacement of cow milk with (unsweetened) almond milk may contribute to many health aspects for women with PCOs. According to researches, almond milk  not only be an efficacious substitute of cow milk in infant with cow-milk allergy/intolerance(1307) but also induces production of probiotics, which have a positive effect on fasting blood sugar(1310) and serum of insulin(1310) in in PCOS patients, through its fermentation stage(1308). According to the University of California at Davis, intake of almonds containing 31 g of total fat per day for 6 weeks had an  beneficial effects on plasma lipids and androgens in PCOS(1309).

8. Moderate exercise (yoga, pilates, walking etc)
(See The General Approaches to prevent the unpreventable?)
[Moderate exercise not only increases blood flow to strengthen the body tissues(274)(275) and organs(276), including the reproductive system but also enhances the immunity(277) in fighting against inflammatory process(277)(278) due to irregular cell growth(281)(282) and foreign invasion(279)(280).]
[Yoga is a physical, mental, and spiritual practice in Hinduism, Buddhism.
According to studies holistic yoga therapy showed a significant effects in reducing anti-müllerian hormone (AMH-primary outcome), luteinizing hormone (LH), testosterone, hirsutism,  and improving menstrual frequency, glucose, lipid, and insulin values(284) with nonsignificant changes in body weight, FSH, and prolactin in adolescent PCOS(283).]
In metabolic syndrome, a constellation of metabolic abnormalities, such as abdominal obesity, insulin resistance, an atherogenic dyslipidemia, elevated blood pressure, a prothrombotic profile, and inflammation(1311), physical exercise has shown to improve the lipid profile(1312). insulin resistance (IR)(1312) in obese boy and, bodyweight(1313), atherogenic lipid profiles(1313), insulin resistance(1313),blood pressure(1313) and anthropometric factors(1313) if used conjunction with standard diet therapy in Japanese population.

9. Lose some weight
Obsesity and particularly visceral fat excess in PCOs women have shown to involve stimulating ovarian androgen(1315) induced alternation of  ovarian physiology(1314)(1315) associated  with ovulatory disturbances(1314)(1315) and negative effects on the endometrium(1314) in contribution to fertility(1314), implantation failure(1314) and miscarriage(1314).
(Read more information of benefits of weight loss for women with PCOs in the section PCOs in weight loss perspective)
The macro nutrients and Glycemic index
The Best PCOs Diets for weight loss
The Common Weight Loss Foods 
The Common Weight Loss Herbs
The Weight Loss Vitamin C
The Weight Loss Vitamin D

10. Protect your Liver
 Liver diseases such as nonalcoholic fatty liver disease (NAFLD) associated to 41% increased risk in women with PCOs(1320), is tightly associated with obesity and the metabolic syndrome induced physiopathology of fibrosis development and progression(1316) affecting the liver function not only in blood storing and formation(1318) and but also liver in transportation of blood and fluid to kidney and heart in fluid and blood distribution to our body(1318) and liver metabolism(carbohydrate metabolism (glycolysis and glycogen synthesis) and triglyceride synthesis (lipogenesis))(1319) in regulating insulin resistance associated with excessive fat accumulation in ectopic tissues, inflammation and endoplasmic reticulum stress(1317).
Vitamin B complex has shown to exhibit hepatoprotective effect(1321) through inhibition of lipid metabolic disorder)1321), oxidative damage(1321)(1322) and nitrosative stress(1322).
According to Auburn University, consumption of green leafy vegetables (GLVs) may reduce the risks associated with cardiovascular(1323) and liver diseases(1324) such as hepatocellular carcinoma(1324) through modulate liver fatty acid composition(1323).
Liver disharmony can contribute emotional depression(1318)(1324), exacerbating the psychological symptoms in women with PCOs(1325). 

11. Weekly acupuncture
Suggestions of acupuncture for treatment of PCOs symptoms have been well established(1326)(1329)(1328), but larger example size and multi center studies are necessary to provide more reliable and valid scientific evidence(1336). Dr. Ren LN and research team said "acupuncture combined with Chinese herbal medicines or with moxibustion treatment have advantages in reducing serum luteinizing hormone/follicle-stimulating hormone (LH/FSH), insulin resistance (IR), testosterone (T), and body mass index (BMI)"(1327). Acupuncture has also shown to regulate menstrual dysfunction and induce ovulation in women with PCOs(1330).
In fact, acupuncture also lowers perceived stress at the time of embryo transfer for an improved pregnancy rate(1331), significantly reduce pain intensity and analgesic consumption during oocyte aspiration in IVF treatment(1332), occurrence of ovarian hyperstimulation syndrome (OHSS) in vitro fertilization and embryo transplantation(1333).....Combined with clomiphene, acupuncture effectively improves HCG day cervical mucus, endometrial thickness and morphology for a normal pregnancy(1334). The study by University of Adelaide preliminary data, suggested that acupuncture improves self-efficacy and psychological coping for women experiencing delays with falling pregnant(1335). 


Ovarian Cysts And PCOS Elimination
Holistic System In Existence That Will Show You How To
Permanently Eliminate All Types of Ovarian Cysts Within 2 Months   

References
(1) Adiposity and metabolic dysfunction in polycystic ovary syndrome by Sam S.(PubMed)
(2) A "kiss" before conception: triggering ovulation with kisspeptin-54 may improve IVF by Young SL.(PubMed)
(3.) Androgen hyperfunction and excessive heterosexual hair growth in women, with special attention to the polycystic ovarian syndrome by Lunde O¹.(PubMed)
(4) Expression of anti-Müllerian hormone in letrozole rat model of polycystic ovary syndrome by Du DF¹, Li XL, Fang F, Du MR.(PubMed)
(5) [Serum levels of anti-muller hormone in women with polycystic ovary syndrome and healthy women of reproductive age].[Article in Bulgarian] by Parahuleva N, Pehlivanov B, Orbecova M, Deneva T, Uchikova E.(PubMed)
(6) [Current opinions on the etiology and pathophysiology of hirsutism].[Article in Polish] by Krysiak R¹, Kedzia A, Okopień B.(PubMed)
(7) The clinical evaluation of hirsutism by Somani N¹, Harrison S, Bergfeld WF.(PubMed)
(8) Polycystic ovary syndrome and insulin: our understanding in the past, present and future by Mayer SB¹, Evans WS, Nestler JE.(PubMed)
(9) Association of mean platelet volume with androgens and insulin resistance in nonobese patients with polycystic ovary syndrome by Dogan BA¹, Arduc A², Tuna MM¹, Karakılıc E¹, Dagdelen I¹, Tutuncu Y¹, Berker D¹, Guler S¹.(PubMed)
(10) Approach to the patient: contraception in women with polycystic ovary syndrome by Yildiz BO¹.(PubMed)
(11) Polycystic ovarian syndrome (PCOS): a significant contributor to the overall burden of type 2 diabetes in women by Talbott EO¹, Zborowski JV, Rager JR, Kip KE, Xu X, Orchard TJ.(PubMed)
(12) Prevalence of vitamin D deficiency in Slovak women with polycystic ovary syndrome and its relation to metabolic and reproductive abnormalities by Figurová J¹, Dravecká I, Javorský M, Petríková J, Lazúrová I.(PubMed)
(13) Role of Insulin Sensitizers on Cardiovascular Risk Factors in Polycystic Ovarian Syndrome: A Meta-Analysis by Thethi TK¹, Katalenich B², Nagireddy P³, Chabbra P⁴, Kuhadiya N⁵, Fonseca V¹.(PubMed)
(14) Acne in hirsute women by Lumezi BG¹, Pupovci HL¹, Berisha VL¹, Goçi AU², Gerqari A³.(PubMed)
(15) Obesity and polycystic ovary syndrome by Naderpoor N¹, Shorakae S, Joham A, Boyle J, De Courten B, Teede HJ.(PubMed)
(16) Polycystic ovary syndrome: a complex condition with psychological, reproductive and metabolic manifestations that impacts on health across the lifespan by Teede H¹, Deeks A, Moran L.(PubMed)
(17) Metabolic Evidence of Diminished Lipid Oxidation in Women With Polycystic Ovary Syndrome. by Whigham LD¹, Butz DE², Dashti H³, Tonelli M³, Johnson LK¹, Cook ME², Porter WP⁴, Eghbalnia HR⁵, Markley JL⁶, Lindheim SR⁷, Schoeller DA⁸, Abbott DH⁹, Assadi-Porter FM¹⁰.(PubMed)
(18) Risk of endometrial, ovarian and breast cancer in women with polycystic ovary syndrome: a systematic review and meta-analysis by Barry JA¹, Azizia MM¹, Hardiman PJ².(PubMed)
(19) Risk of cancer among women with polycystic ovary syndrome: a Danish cohort study by Gottschau M¹, Kjaer SK², Jensen A¹, Munk C¹, Mellemkjaer L³.(PubMed)
(20) Polycystic ovary syndrome: metabolic consequences and long-term management by Carmina E¹.(PubMed)
(21) Arterial stiffness is increased in asymptomatic nondiabetic postmenopausal women with a polycystic ovary syndrome phenotype by Armeni E¹, Stamatelopoulos K, Rizos D, Georgiopoulos G, Kazani M, Kazani A, Kolyviras A, Stellos K, Panoulis K, Alexandrou A, Creatsa M, Papamichael C, Lambrinoudaki I.(PubMed)  
(1246) [Clinical study of area of Jiangsu province of polycystic ovarian syndrome correlation distribution of traditional Chinese medicine syndrome type and improper diet]. [Article in Chinese] by Feng Y, Gao YP.(PubMed)
(1247) [Preliminary study on relationship of disease-syndrome-symptom of ovulatory disorder infertility based on factor analysis]. [Article in Chinese] by Li M, Ma K, Shan, J.(PubMed)
(1247a) A Comprehensive Treatment of Polycystic Ovarian Syndrome (PCOS) bny by Liqin Zhao 
(1247b) Polycystic Ovary Syndrome - a TCM Perspective by Donna Dupre, L.Ac. 
(1248) Spleen-yang-deficiency patients with polycystic ovary syndrome have higher levels of visfatin by Fu H, Qiu Y, Xia M, Wei F, He H, Yang L.(PubMed)
(1249) PCOS – A Chinese Medicine Diet and Lifestyle Approach by Angela Warburton 
(1299) n Unintended Consequence Of Diet Soda: Disrupting Friendly Bacteria And Raising Blood Sugar" by Faye Flam(Forbes)
(1300) Soft drink, 100% fruit juice, and vegetable juice intakes and risk of diabetes mellitus by Eshak ES1, Iso H, Mizoue T, Inoue M, Noda M, Tsugane S.(PubMed)
(1301) Intake of fruit juice and incidence of type 2 diabetes: a systematic review and meta-analysis by Xi B1, Li S1, Liu Z1, Tian H1, Yin X1, Huai P2, Tang W3, Zhou D4, Steffen LM3.(PubMed)
(1302) Energy drinks: a new health hazard for adolescents by Pennington N1, Johnson M, Delaney E, (PubMed)
(1303) Health risks of energy drinks: what nurses and consumers need to know by Guilbeau JR1.(PubMed)
(1304) Osteoporosis and Chinese Diet  by Jacqueline (Australia)(Chinese holistic Health Exercise) 
(1305) Chinese  Medical Theory  and Dairy Foods(Ask my Acupuncturist)
(1306) TCM Dietary Recommendations(Okanagan Acupuncture Centre)
(1307) The almond milk: a new approach to the management of cow-milk allergy/intolerance in infants by Salpietro CD¹, Gangemi S, Briuglia S, Meo A, Merlino MV, Muscolino G, Bisignano G, Trombetta D, Saija A.(PubMed)
(1308) Development of a non-dairy probiotic fermented product based on almond milk and inulin by Bernat N¹, Cháfer M², Chiralt A², González-Martínez C².(PubMed)
(1309) Differential effects of walnuts vs almonds on improving metabolic and endocrine parameters in PCOS by Kalgaonkar S¹, Almario RU, Gurusinghe D, Garamendi EM, Buchan W, Kim K, Karakas SE.(PubMed)
(1310) Effects of Probiotic Supplementation on Pancreatic β-cell Function and C-reactive Protein in Women with Polycystic Ovary Syndrome: A Randomized Double-blind Placebo-controlled Clinical Trial by Shoaei T¹, Heidari-Beni M¹, Tehrani HG², Feizi A³, Esmaillzadeh A¹, Askari G¹.(PubMed)
(1311) Abdominal obesity, insulin resistance, and the metabolic syndrome: contribution of physical activity/exercise by Ross R¹, Després JP.(PubMed)
(1312) Adiponectin and markers of metabolic syndrome in obese children and adolescents: impact of 8-mo regular physical exercise program by Nascimento H¹, Costa E¹, Rocha S¹, Lucena C², Rocha-Pereira P³, Rêgo C⁴, Mansilha HF⁵, Quintanilha A⁶, Aires L², Mota J⁷, Santos-Silva A¹, Belo L¹.(PubMed)
(1313) Ezetimibe combined with standard diet and exercise therapy improves insulin resistance and atherosclerotic markers in patients with metabolic syndrome by Ohbu-Murayama K¹, Adachi H², Hirai Y¹, Enomoto M¹, Fukami A¹, Obuchi A¹, Yoshimura A¹, Nakamura S¹, Nohara Y¹, Nakao E¹, Umeki Y¹, Fukumoto Y¹.(PubMed)
(1314) [Obesity and polycystic ovary syndrome: reproductive issues].[Article in French] by Dewailly D¹.(PubMed)
(1315) Metabolic effects of obesity on reproduction by Pasquali R¹, Gambineri A.(PubMed)
(1316) Fibrosis in Nonalcoholic Fatty Liver Disease: Mechanisms and Clinical Implications by Angulo P¹, Machado MV², Diehl AM².(PubMed)
(1317) Metabolic syndrome and nonalcoholic fatty liver disease: Is insulin resistance the link? by Asrih M¹, Jornayvaz FR².(PubMed)
(1318) Liver, Wood(The 5 Organs Network of Chinese Medicine - Liver)
(1319) Carbohydrate responsive element binding protein (ChREBP) and sterol regulatory element binding protein-1c (SREBP-1c): two key regulators of glucose metabolism and lipid synthesis in liver by Dentin R¹, Girard J, Postic C.(PubMed)
(1320) Nonalcoholic fatty liver disease in women with polycystic ovary syndrome by Cerda C¹, Pérez-Ayuso RM, Riquelme A, Soza A, Villaseca P, Sir-Petermann T, Espinoza M, Pizarro M, Solis N, Miquel JF, Arrese M.(PubMed)
(1321) [Protective mechanism of complex vitamin B and GSH on fatty liver]. [Article in Chinese] by Sun Y1, Dong Y, Wu J, Han Y.(PubMed)
(1322) Modulation of lecithin activity by vitamin-B complex to treat long term consumption of ethanol induced oxidative stress in liver by Das SK1, Vasudevan DM.(PubMed)
(1323) Diets containing traditional and novel green leafy vegetables improve liver fatty acid profiles of spontaneously hypertensive rats by Johnson M, Pace RD, Dawkins NL, Willian KR1.(PubMed)
(1324) Vegetable, fruit and antioxidant nutrient consumption and subsequent risk of hepatocellular carcinoma: a prospective cohort study in Japan by Kurahashi N, Inoue M, Iwasaki M, Tanaka Y, Mizokami M, Tsugane S.(PubMed)
(1325) Liver and Gallbladder Pattern Differentiation in Chinese Medicine(Sacred Lotud. Chinese medicine)
(1326) Personality profile in patients with polycystic ovary syndrome by Ozcan Dag Z1, Oguzturk O, Isik Y, Turkel Y, Bulcun E.(PubMed)
(1326a) Serum anti-Müllerian hormone and ovarian morphology assessed by magnetic resonance imaging in response to acupuncture and exercise in women with polycystic ovary syndrome: secondary analyses of a randomized controlled trial by Leonhardt H1, Hellström M, Gull B, Lind AK, Nilsson L, Janson PO, Stener-Victorin E.(PubMed)
(1327)[A meta-analysis on acupuncture treatment of polycystic ovary syndrome]. [Article in Chinese] by Ren LN, Guo LH, Ma WZ, Zhang R.(PubMed)
(1328) Combination of acupuncture and chinese medicinal herbs in treating model rats with polycystic ovary syndrome by Ma RJ1, Zhou J, Fang JQ, Yang DH, Qu F.(PubMed)
(1329) [Observation on therapeutic effect of acupuncture combined with chinese herbs on polycystic ovary syndrome of kidney deficiency and phlegm stasis type]. [Article in Chinese] by Shi Y1, Feng HJ, Liu HR, Zhu D.(PubMed)
(1330) Polycystic ovary syndrome: effect and mechanisms of acupuncture for ovulation induction by Johansson J1, Stener-Victorin E.(PubMed)
(1331) The relationship between perceived stress, acupuncture, and pregnancy rates among IVF patients: a pilot study by Balk J1, Catov J, Horn B, Gecsi K, Wakim A.(PubMed)
(1332) Auricular electro-acupuncture as an additional perioperative analgesic method during oocyte aspiration in IVF treatment by Sator-Katzenschlager SM1, Wölfler MM, Kozek-Langenecker SA, Sator K, Sator PG, Li B, Heinze G, Sator MO.(PubMed)
(1333) [Effect of electro-acupuncture on clinical outcomes and ovarian hyperstimulation syndrome in in vitro fertilization and embryo transplantation]. [Article in Chinese] by Hong YL1, Tan Y, Yin YY, Zou YJ, Guo YH, Nie XW.(PubMed)
(1334) [Infertility in polycystic ovary syndrome treated with acupuncture and clomiphene: a randomized controlled trial]. [Article in Chinese] by Jiang D, Zhang Y, Wu X, Wu S.(PubMed)
(1335) An exploratory study of the effect of acupuncture on self-efficacy for women seeking fertility support by Kovárová P1, Smith CA, Turnbull DA.(PubMed)
(1336) Acupuncture for infertility: is it an effective therapy? by Huang DM1, Huang GY, Lu FE, Stefan D, Andreas N, Robert G.(PubMed)