Yoga Intervention Improves the Metabolic Parameters and Quality of Life among Infertile Women with Polycystic Ovary Syndrome in Indian Population

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Abstract

Background:

The heterogenic manifestations of polycystic ovarian syndrome have led to various treatment approaches that include improving hormonal imbalance, weight management, and improving quality of life (QoL). Yoga therapy being a versatile treatment approach benefits physical and mental well-being and can be recommended to women with polycystic ovary syndrome (PCOS).

Objective:

The objective of this study was to study the effect of structured yoga intervention on anthropometric, metabolic, hormonal, biochemical, ovarian morphology, and infertility-related QoL parameters among infertile women with PCOS.

Settings and Design:

A prospective, controlled before and after study was conducted at a Multidisciplinary PCOS Clinic in Mumbai, Maharashtra, India.

Methodology:

Infertile women with PCOS (26 participants in each group which includes intervention and control arm) seeking treatment for infertility at the Multidisciplinary PCOS Clinic at National Institute for Research in Reproductive and Child Health. The intervention group received 90 min of structured yoga intervention for 3 months.

Statistical Analysis:

The median change in parameters between baseline and after 12 weeks of intervention was analyzed using IBM SPSS software, version 26 to perform descriptive analyses and Wilcoxon test to analyze pre- and postintervention parameters in the intervention and control group.

Results:

There was a significant difference in the weight, basal metabolic rate, postglucose insulin, anti-Müllerian hormone, cholesterol, high-density lipoprotein, low-density lipoprotein, serum glutamic pyruvic transaminase, ultrasound parameters such as stromal thickness, follicle number per ovary, and QoL in infertility domain in the intervention group compared to the control group. Within 1 year of initiation of the study, 13 participants became pregnant in the yoga intervention group as compared to 7 participants in the control group.

Conclusion:

The metabolic comorbidities of PCOS have adverse effects on the QoL and pregnancy outcome among infertile women with PCOS. This pilot study demonstrated that a 12-week yoga intervention brought overall improvement in anthropometric, hormonal, biochemical, ovarian morphology, and infertility-related QoL parameters compared to the control group. Integration of yoga in infertility management will help to improve the QoL and to optimize prepregnancy metabolic parameters among infertile women with PCOS.

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Most cited references 40

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The relationship between stress and infertility

Kristin L Rooney, Alice Domar (2018)

The relationship between stress and infertility has been debated for years. Women with infertility report elevated levels of anxiety and depression, so it is clear that infertility causes stress. What is less clear, however, is whether or not stress causes infertility. The impact of distress on treatment outcome is difficult to investigate for a number of factors, including inaccurate self-report measures and feelings of increased optimism at treatment onset. However, the most recent research has documented the efficacy of psychological interventions in lowering psychological distress as well as being associated with significant increases in pregnancy rates. A cognitive-behavioral group approach may be the most efficient way to achieve both goals. Given the distress levels reported by many infertile women, it is vital to expand the availability of these programs.

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Clinical and psychological correlates of quality-of-life in polycystic ovary syndrome.

Susanne Hahn, Sigrid Elsenbruch, Klaus Mann … (2005)

Polycystic ovary syndrome (PCOS) has been shown to cause a reduction in quality of life. This study examines the extent of different PCOS symptoms on quality-of-life, psychosocial well-being and sexual satisfaction. Complete metabolic, hormonal, clinical and psychosocial data were obtained from a total of 120 women with PCOS. Patients were compared with 50 healthy women to establish reductions in quality-of-life and emotional well-being. In addition, the correlation between psychosocial variables and the major clinical PCOS features obesity (body mass index (BMI)), excessive body hair (hirsutism score), acne, hyperandrogenism (serum testosterone levels), disturbed insulin regulation (area under the insulin response curve and homeostasis model assessment of insulin resistance), menstrual cycle disturbances and infertility were analyzed. PCOS patients showed significant reductions in quality-of-life, increased psychological disturbances, and decreased sexual satisfaction when compared with healthy controls. BMI and hirsutism scores, but not the presence of acne, were associated with physical aspects of quality-of-life and sexual satisfaction. No clear effect of androgens or insulin resistance on psychosocial variables was detected. Similarly, the type of menstrual cycle disturbances or infertility had no impact on psychological well-being. In PCOS, changes in appearance, particularly obesity and hirsutism, reduce physical dimensions of quality-of-life and decrease sexual satisfaction. The role of biochemical, endocrine and metabolic parameters as well as menstrual irregularities and infertility appeared to be less important. Clinicians should pay attention to the psychosocial dimensions of PCOS on an individual basis, regardless of symptom severity or treatment response.

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Quality of life, psychosocial well-being, and sexual satisfaction in women with polycystic ovary syndrome.

O Janssen, Manfred Schedlowski, Klaus Mann … (2003)

Polycystic ovary syndrome (PCOS) is a common endocrine disorder characterized by chronic anovulation and hyperandrogenism. PCOS is one of the leading causes of infertility and manifests with hirsutism, acne, and obesity. To investigate its impact on health-related quality of life and sexuality, 50 women with PCOS and 50 controls were evaluated with standardized questionnaires (36-item short-form health survey, symptom checklist revised, and life satisfaction questionnaire). The impact of hirsutism, obesity, and infertility was assessed using five-point rating scales, and sexual satisfaction was analyzed with visual analog scales. Patients showed greater psychological disturbances on the symptom checklist revised dimensions, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, aggression, and psychoticism, along with a lower degree of life satisfaction in the life satisfaction questionnaire scales health, self, and sex. Health-related quality of life measured with the 36-item short-form health survey revealed significantly decreased scores for physical role function, bodily pain, vitality, social function, emotional role function, and mental health in patients with PCOS. Although patients had the same partner status and frequency of sexual intercourse, they were significantly less satisfied with their sex life and found themselves less attractive. Most of the differences were not affected by correction for body weight. In conclusion, PCOS causes a major reduction in the quality of life and severely limits sexual satisfaction.

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Author and article information

Journal

Journal ID (nlm-ta): Int J Yoga

Journal ID (iso-abbrev): Int J Yoga

Journal ID (publisher-id): IJY

Journal ID (publisher-id): Int J Yoga

Title: International Journal of Yoga

Publisher: Wolters Kluwer - Medknow (India )

ISSN (Print): 0973-6131

ISSN (Electronic): 2231-2714

Publication date (Print): May-Aug 2023

Publication date (Electronic): 21 November 2023

Volume: 16

Issue: 2

Pages: 98-105

Affiliations

[1] Department of Clinical Research, ICMR-National Institute for Research in Reproductive Health, Mumbai, Maharashtra, India

[1 ] Department of Scientific Research, Kaivalyadhama Yoga Institute and Research Center, College of Yoga, Lonavala, Maharashtra, India

[2 ] Department of Scientific Research, Kaivalyadhama Yoga Institute and Research Center, Lonavala, Maharashtra, India

[3 ] Kaivalyadhama Yoga Institute and Research Center, Lonavala, Maharashtra, India

[4 ] Department of Operational Research, ICMR-National Institute for Research in Reproductive Health, Mumbai, Maharashtra, India

[5 ] Department of Biostatistics, ICMR-National Institute for Research in Reproductive and Child Health, Mumbai, Maharashtra, India

[6 ] Department of Child Health Research, ICMR-National Institute for Research in Reproductive and Child Health, Mumbai, Maharashtra, India

[7 ] Department of Swasthavrutta, B. R. Harane Ayurvedic Medical College, Thane, Maharashtra, India

Author notes

Address for correspondence: Dr. Anushree Devashish Patil, Department of Clinical Research, ICMR-National Institute for Research in Reproductive Health, Jehangir Merwanji Street, Parel, Mumbai - 400 012, Maharashtra, India. E-mail: patila@ 123456nirrch.res.in

Article

Publisher ID: IJY-16-98

DOI: 10.4103/ijoy.ijoy_88_23

PMC ID: 10775836

PubMed ID: 38204771

SO-VID: d6105c1e-8921-4671-ad66-8b8409f594ad

License:

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

History

Date received : 24 May 2023

Date revision received : 08 September 2023

Date accepted : 08 November 2023

Yoga Intervention Improves the Metabolic Parameters and Quality of Life among Infertile Women with Polycystic Ovary Syndrome in Indian Population

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Abstract

Background:

Objective:

Settings and Design:

Methodology:

Statistical Analysis:

Results:

Conclusion:

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Clinical Social Work and Health Intervention

Most cited references 40

The relationship between stress and infertility

Clinical and psychological correlates of quality-of-life in polycystic ovary syndrome.

Quality of life, psychosocial well-being, and sexual satisfaction in women with polycystic ovary syndrome.

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