1. Physiotherapy is an effective therapeutic and supportive management for PCOS by helping to restore hormonal balance and reduce infertility risk through exercise. 2. Exercise for PCOS decreases insulin resistance, aids weight loss, reduces stress, and helps combat metabolic syndrome and infertility. 3. Recommended exercises include aerobic activities 5 days a week, resistance training 2-3 days a week, and cardio exercises like walking, swimming, and cycling.

1. PHYSIOTHERAPY IN PCOS
By: Dr. Akshita (PT)
M.P
.T (Cardiopulmonary), B.P
.T (AJIPT, Delhi
University), D.C.P
.T
In charge, Department of Physiotherapy,
IPHI, New Delhi
Former PT Yashoda Super Specialty
Hospital & DCCW
Former Intern Sir Ganga Ram Hospital
Certified BLS & ACLS, AHA

2. INTRODUCTION:
• PCOS- Polycystic ovarian syndrome is a condition in which levels of women’s sex
hormones are imbalanced which further leads to the growth of a cyst in ovaries
medically termed ovarian cysts. It is also known as Stein Leventhal Syndrome. This
heterogeneous disorder is characterized by excessive androgen production by the
ovaries which interferes with the reproductive, endocrine & metabolic functions.

3. PREVALENCE:
• It is affecting 5-10% of women of reproductive age i.e. 15-45 years.
• It has been noted that the incidences are increasing fast with change in lifestyle &
stress.
• 20% of women suffer from infertility.
• It is said to be associated with Insulin Resistance creating the risk for diabetes,
hypertension & cardiovascular disorders

4. CAUSES:

5. SIGN AND SYMPTOMS:

6. Ovulatory dysfunction syndrome
• Amenorrhea or Oligomenorrhoea-
• Irregular uterine bleeding can occur-
26%
• Infertility is noted- 20%

7. 2. Androgen excess
• Hirsutism Acne
• Alopecia or Baldness
3. Insulin resistance
• Acanthosis nigricans
Obesity

8. PHYSIOTHERAPY MANAGEMENT
• Physiotherapy is proved to be a best therapeutic as well as supportive
management in PCOS patients, especially in reducing the risk of
infertility.
• Exercise helps in restoring quality of life and improving fertility through
inducing hormonal balancing, reducing inflammatory markers,
combating obesity, metabolic syndrome, and increasing immunity

9. BENEFITS OF EXERCISES FOR PCOS:
• Decreases the risk of infertility.
• Helps in reduction, even elimination, insulin resistivity which is common in
PCOS.
• Improves basal metabolic rate (BMR).
• Releases Endorphins (‘happy hormones’) which assists in normalizing stress
levels.
• Quash cravings- it is being said that a 10-minute walk can kill cravings for
chocolate.
• Aids fat loss and helps in maintenance of a healthy weight.
• Helps bowels and remove toxins.

10. EXERCISE TRAINING SESSION:
• Warm-up: At least 5–10 min.
• Aerobics exercises- Frequency: 5 days/week for 12–24 weeks- Low impact aerobics
classes, low impact dancing, jogging.

11. • Resistance exercise training- Frequency: 2–
3 days/week for 12–24 weeks- Gyming/
weight training: biceps and triceps curl,
abdominal curl ups, leg curls etc. Exercise
with theraband. Closed chain exercises:
with use of body weight, example:
pushups, squatting etc.
• Cardio-training: Walking, stationary cycle,
swimming, jogging, running, treadmill,
jumping robes.

13. CLOSED CHAIN EXERCISES

14. CARDIO-TRAINING
• Walking
• Stationary cycle
• Swimming
• Jogging
• Running
• Treadmill
• Jumping robes

15. MANAGEMENT OF COMPLICATIONS:
• Also, women with PCOS may experience low back pain, sacral pain,
and lower quadrant abdominal pain.
• Electrotherapy treatment can be given to reduce such issues: Hot
pack, Tens/IFT, Low back stretching.