Gynecology & Reproductive Medicine

Abstract

Hooded Disease – Polycystic Ovarian Syndrome: Lifestyle Change with DEBEC-Systematic

Dr. Marion Eckert-Krause.

Background: Obesity, irregular menstruation, fertility issues, and hair/skin problems as main-factors for Polycystic Ovarian Syndrome (PCOS) don´t reflect every symptom of PCOS. Insulin resistance, hypercholesterolemia and reduced metabolism lead to far-reaching implications as increased risks of e.g. diabetes, cardiovascular disease, Hashimoto, endometrial cancer. Throughout a woman’s life PCOS is present, actual without curing. This endocrine-metabolic disorder is multifarious, the root cause yet unknown. Therefore a defined therapy after early diagnosis is important.

Method: Pilot-Case Study, DEBEC-Systematic (Diagnostics-Eating-Balance-Exercise-Coaching) steering physical activity, dietary-change, holistic coaching. Period: 24 months, Endpoint: 15kg weight-reduction and lifestyle-adaption. Measuring: weight (kg) and girth of waist (cm), hip (cm), neck (cm), BMI, body fat (in %), waist-hip ratio (WHR). Blood test: hormonal status, cholesterol, triglyceride, fasten glucose. Review after 36, 48, 60 months to emblaze sustainability of DEBEC-Method.

Results: After 24 Month’s therapy: weight – reduction 17.1 kg (11 kg within 12 months). Blood test: normal hormonal status (under birth control pill), normal blood sugar level but cholesterol and triglyceride were out of specification (OOS). Contraceptive: Try and Error with Midane, Yasmin, Yaz, Cerazette related to side-effects. Personal: motivated, full of energy, success within her studies. Psychological: learned accepting living with PCOS. Review after 36, 48, 60 months cholesterol was still OOS and weight was 61±2kg (BMI 22.8±1.5).

Conclusion: This Pilot Study shows how an individual based therapy with defined modules (DEBEC) can be successful related to health risk reduction suitable for daily use. Fat metabolism was not affected and must be further under control. Because of training about nutrition and exercise the patient is enabled for own health management (e.g. weight control in a 2kg weight scope round BMI 23). Coaching is important for the patient to preserve over a long time.