CASE REPORT - THE RESUMPTION OF MENSES TROUGH REDUCTION OF WEIGHT AND TREATMENT WITH METFORMIN TO A YOUNG GIRL WITH THE POLYCYSTIC OVARY SYNDROME

Abstract

Objectives: We aimed to evaluate the effect of reducing body weight by optimization of lifestyle and the utility of metformin association to a young obese woman with polycystic ovary syndrome (PCOS). Material and Method: A young obese woman diagnosed with PCOS (with amenorrhea at the time of the first visits) received a caloric restrictive diet for three months. After this period, metformin was associated. Results: After 3 months, just by optimization of lifestyle, weight loss was 4 kg, but amenorrhea remained. It was considered useful the association of 3x500mg/day of metformin. After another 3 months, in addition to decrease weight by up to 6 kg, the patient has regained menstruation, but the appearance of the ovaries has remained unchanged. Conclusions: The first therapeutic intervention to obese women with PCOS is lifestyle optimization. Association of metformin can bring additional benefits.