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ISSN: 1734-4948
Advances in Rehabilitation
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1/2025
vol. 39
 
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abstract:
Original article

Response of menstrual irregularity and infertility-related stress to ultrasound cavitation combined with aerobic exercise in polycystic ovarian syndrome: double blinded randomized controlled trial

Shreen Aboelmagd
1, 2
,
Marwa Shafiek Saleh
3, 4
,
Mai M. A. Shehata
1
,
Ali Abdelmoezz Dahi
5
,
Nehad Ahmed Abo-zaid
6
,
Elham Shahat Hassan
7

  1. Department of Physical Therapy for Woman's Health, Faculty of Physical Therapy, Cairo University, Giza, Egypt
  2. Department of Physical Therapy for Woman's Health, Faculty of Physical Therapy, Bader University in Assiut (BUA), Assiut, Egypt
  3. Department of Basic Science for Physical Therapy, Faculty of Physical Therapy, Cairo University, Egypt.
  4. Department of Physical Therapy, Faculty of Applied Medical Sciences, Al‐Zaytoonah University of Jordan, Amman, Jordan
  5. Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Assiut, Egypt
  6. Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, South Valley University, Qena, Egypt
  7. Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, South Valley University, Qena, Egypt
Adv Rehab. 2025; 39(1): 58-72
DOI: https://doi.org/10.5114/areh.2025.147886
Online publish date: 2025/02/20
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Introduction
Female obesity and infertility are frequently linked to polycystic ovarian syndrome (PCOS), which has major consequences for metabolism and reproductive health. This study was designed to explore the effect of adding ultrasound cavitation (UC) to aerobic exercises on menstrual regularity, gonadotropin hormones, infertility-related stress, and cortisol levels in obese PCOS women.

Material and methods
Sixty obese women diagnosed with PCOS, age 20 to 35, were randomly distributed into control group A (n = 30) and cavitation group B (n = 30). All cases in both groups received moderate-intensity aerobic training for 50 minutes, five times weekly for 12 weeks. The cavitation group also received UC on the abdomen once a week. Body Mass Index (BMI), waist-hip ratio (WHR), menstrual regularity, gonadotropin hormones, viz. luteinizing hormone (LH), follicle-stimulating hormone (FSH), and LH/FSH ratio, infertility-related stress and cortisol levels were assessed pre-intervention and after 12 weeks.

Results
Significant improvements post-treatment versus pre-treatment were noted within both groups in all outcome variables (BMI, WHR, LH, LH/FSH ratio, infertility-related stress, and cortisol) (p < 0.05). However, the cavitation group demonstrated more significant reduction improvements in BMI, WHR, LH, LH/FSH ratio, infertility-related stress, and cortisol levels compared to the control group post-treatment (p < 0.05).

Conclusions
Adding UC to aerobic exercises should be suggested as an effective intervention for improving BMI, WHR, LH, LH/FSH ratio, infertility-related stress, and cortisol levels in PCOS women.

keywords:

aerobic exercise, obesity, polycystic ovarian syndrome, ultrasonic cavitation, infertility-related stress










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