Aim for normal weight! Diet and exercise should be at the forefront of therapeutic measures! Often, weight reduction alone already leads to a normalization of the cycle and follicle maturation (egg maturation); significant improvements are seen in follicle-stimulating hormone (FSH), sex hormone-binding globulin (SHBG), total testosterone, androstenedione, free androgen index and FG score (Ferriman-Gallwey score for quantifying hirsutism/increased androgen-dependent hairiness). Determination of BMI (body mass index) or body composition using electrical impedance analysis.
BMI ≥ 25 → participation in a medically supervised weight loss program.
Review of permanent medication due topossible impact on the existing disease.
Regular check-ups
Regular medical checkups
Nutritional medicine
Nutritional counseling based on nutritional analysis
Distribute food over 3 meals a day, no snacks between meals
Low-carbohydrate, high-protein and fat-modified diet – selection of foods that lead to low bloodglucose serum level (blood sugar level) and low insulin secretion.
Endurance training (cardio training) and strength training (muscle training) → sports activity is an important measure for weight reduction and leads to maintaining the weight permanently afterwards