About this trial
This study evaluates the efficacy of alpha-lipoic acid combined with myo-inositol, with or without metformin, in improving menstrual regularity and ovulation in non-diabetic women with polycystic ovary syndrome (PCOS). The study also assesses metabolic, hormonal, and clinical outcomes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Women aged 21 to 40 years
Diagnosed with polycystic ovary syndrome (PCOS) according to Rotterdam criteria
Not currently pregnant or lactating
No hormonal therapy within the last 3 months
Disqualifiers
- History of diabetes mellitus, hypertension, or thyroid disorders
History of cardiovascular, renal, or hepatic disease
Use of hormonal contraceptives or insulin sensitizers within the last 3 months
Known hypersensitivity or allergy to study medications (myo-inositol, alpha-lipoic acid, or metformin)
Trial design
Parallel
Treatments tested in this trial
Myo-inositol
DrugMyo-inositol administered orally at a dose of 2 g twice daily for 6 months.
Folic Acid
Dietary supplementFolic acid administered orally at a dose of 200 micrograms twice daily for 6 months.
Alpha Lipoic Acid
DrugAlpha-lipoic acid administered orally at a dose of 600 mg once daily for 6 months.
Metfomin
DrugMetformin administered orally starting at 500 mg once daily and titrated over two weeks to a maximum dose of 1500 mg/day (500 mg three times daily), taken after meals for 6 months.
Treatment groups
Trial outcomes
Primary outcomes
Ovulation Rate
Ovulation confirmed by mid-luteal serum progesterone level greater than 3 ng/mL or ultrasound-confirmed follicular rupture.
Menstrual Cycle Regularity
Proportion of participants achieving menstrual cycle regularity, defined as cycle length between 21 and 35 days for at least two consecutive cycles during the study period.
Secondary outcomes
Serum Prolactin Levels
Change in serum prolactin levels measured in ng/mL using standard laboratory assays.
Body Mass Index (BMI)
Change in body mass index calculated as weight in kilograms divided by height in meters squared (kg/m²).
Serum Triglycerides
Change in fasting serum triglyceride levels measured in mg/dL.
Low-Density Lipoprotein (LDL) Cholesterol
Change in serum LDL cholesterol levels measured in mg/dL.
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