International Journal For Multidisciplinary Research

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Integrative Management of Lean Polycystic Ovary Syndrome: A Patient-Centric Case Study

Author(s) Dr. Shalini, Dr. Praveen Kumar, Dr. Dileep P, Dr. Shradha MK
Country India
Abstract Objective:
To evaluate the effects of a multimodal intervention—including nutrition, yoga therapy, hydrotherapy, Ayurvedic support, and psychological counselling—on reproductive, metabolic, and psychological outcomes in a patient with lean PCOS.
Methods:
A multimodal diagnostic framework was applied, incorporating endocrine testing, metabolic screening, autonomic and psychological assessment, and traditional-system evaluation. The intervention included a structured low–glycaemic, anti-inflammatory diet; daily yoga (pelvic-opening asanas, Chandra Namaskara, Nadi Shodhana, Bhramari, relaxation); hydrotherapy (cold hip bath, abdominal pack); Shatavari administration; and cognitive–mindfulness–based counselling. Outcomes were monitored through cycle tracking, symptom reporting, sleep patterns, and emotional indicators.
Results:
Menstrual cycles shortened from 40–60 days to two cycles during the intervention period, indicating improved ovulatory function. The patient reported reduced postprandial fatigue, enhanced energy, and improved sleep onset following dietary and autonomic-regulating practices. Anxiety, rumination, and physiological arousal decreased with combined yoga, hydrotherapy, and counselling. Shatavari was associated with smoother menstrual flow and reduced premenstrual symptoms. Improvements appeared synergistic across metabolic, neuroendocrine, and emotional domains.
Conclusion:
A comprehensive, integrative therapeutic program addressing multisystem imbalances demonstrated meaningful improvements in menstrual regularity, psychological wellbeing, and functional symptoms in lean PCOS. This case supports the potential value of personalized, multimodal care in managing lean PCOS. Larger controlled studies are warranted to validate these findings and clarify underlying mechanisms.
Keywords Lean polycystic ovary syndrome, Integrative medicine, Multimodal intervention, Yoga therapy, psychological counselling, Menstrual regulation
Field Medical / Pharmacy
Published In Volume 8, Issue 1, January-February 2026
Published On 2026-01-17
DOI https://doi.org/10.36948/ijfmr.2026.v08i01.65789
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