June 2026 in “JOURNAL of QASSIM UNIVERSITY FOR SCIENCE” PCOS is mainly caused by insulin resistance and can be managed with lifestyle changes, exercise, weight loss, and medications.
January 2026 in “Journal of Education Health and Sport” Letrozole with lifestyle changes improves fertility in women with PCOS.
September 2023 in “Diagnostics” Low vitamin D levels may affect ovulation and progesterone in infertile women.
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March 2022 in “International Journal of Nutrology” Myo-inositol improves fertility and metabolic health in PCOS with fewer side effects than metformin.
26 citations
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January 2016 in “Indian journal of endocrinology and metabolism” Both metformin and pioglitazone improve PCOS symptoms, but pioglitazone is a good alternative for those who can't take metformin.