Which activity modifications are used in the treatment of women with androgen excess?

Updated: Mar 14, 2018
  • Author: Mohamed Yahya Abdel-Rahman, MD, MSc; Chief Editor: Richard Scott Lucidi, MD, FACOG  more...
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Answer

Regular exercise and behavioral modification programs are essential for acute and long-term weight management. Different exercise regimens have been advocated from 30 minutes 3 times a week, to 10 minutes multiple times a day, to 1 hour of exercise most days of the week. The best program is one that the patient will actually follow. [84]

Restricting calories should accompany increased energy expenditure. When applying calorie restriction and exercise to a group of women with PCOS, one study found an average weight loss of 15 lb, a 92% ovulation rate, and a 33-45% spontaneous pregnancy rate. [85]

Unfortunately, lifestyle modification and weight loss programs require prolonged patient motivation and are therefore difficult to achieve beyond the research setting. Advice alone is typically ineffective at promoting sustained weight loss.


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