» Articles » PMID: 27493664

A Combined Therapy with Myo-Inositol and D-Chiro-Inositol Improves Endocrine Parameters and Insulin Resistance in PCOS Young Overweight Women

Overview
Publisher Wiley
Specialty Endocrinology
Date 2016 Aug 6
PMID 27493664
Citations 28
Authors
Affiliations
Soon will be listed here.
Abstract

Introduction. We evaluated the effects of a therapy that combines myo-inositol (MI) and D-chiro-inositol (DCI) in young overweight women affected by polycystic ovary syndrome (PCOS), characterized by oligo- or anovulation and hyperandrogenism, correlated to insulin resistance. Methods. We enrolled 46 patients affected by PCOS and, randomly, we assigned them to two groups, A and B, treated, respectively, with the association of MI plus DCI, in a 40 : 1 ratio, or with placebo (folic acid) for six months. Thus, we analyzed pretreatment and posttreatment FSH, LH, 17-beta-Estradiol, Sex Hormone Binding Globulin, androstenedione, free testosterone, dehydroepiandrosterone sulphate, HOMA index, and fasting glucose and insulin. Results. We recorded a statistically significant reduction of LH, free testosterone, fasting insulin, and HOMA index only in the group treated with the combined therapy of MI plus DCI; in the same patients, we observed a statistically significant increase of 17-beta-Estradiol levels. Conclusions. The combined therapy of MI plus DCI is effective in improving endocrine and metabolic parameters in young obese PCOS affected women.

Citing Articles

Myo-Inositol and Its Derivatives: Their Roles in the Challenges of Infertility.

Placidi M, Casoli G, Tatone C, Emidio G, Bevilacqua A Biology (Basel). 2024; 13(11).

PMID: 39596891 PMC: 11592302. DOI: 10.3390/biology13110936.


[Polycystic ovary syndrome: new and promising treatment methods].

Gasieva D, Sheremetyeva E, Kalashnikova M, Dzgoeva F, Alborova E Probl Endokrinol (Mosk). 2024; 70(4):103-113.

PMID: 39302870 PMC: 11551798. DOI: 10.14341/probl13400.


Treatment With a Patented 3.6:1 Myo-Inositol to D-chiro-Inositol Ratio, Antioxidants, Vitamins and Minerals Food Supplement in Women With a History of Assisted Reproductive Technique (ART) Failures: A Series of Case Reports.

Armijo-Sanchez A, Benitez Castillo N, Garcia-Vidal E, Luna Chadid M, Salvador Ballada C, Valls Ricart G Clin Med Insights Case Rep. 2024; 17:11795476241242265.

PMID: 38559382 PMC: 10981332. DOI: 10.1177/11795476241242265.


Inositol for Polycystic Ovary Syndrome: A Systematic Review and Meta-analysis to Inform the 2023 Update of the International Evidence-based PCOS Guidelines.

Fitz V, Graca S, Mahalingaiah S, Liu J, Lai L, Butt A J Clin Endocrinol Metab. 2024; 109(6):1630-1655.

PMID: 38163998 PMC: 11099481. DOI: 10.1210/clinem/dgad762.


Combined Inositols, α-Lactalbumin, Gymnema Sylvestre and Zinc Improve the Lipid Metabolic Profile of Patients with Type 2 Diabetes Mellitus: A Randomized Clinical Trial.

Nani A, Bertuzzi F, Meneghini E, Mion E, Pintaudi B J Clin Med. 2023; 12(24).

PMID: 38137721 PMC: 10743679. DOI: 10.3390/jcm12247650.


References
1.
Unfer V, Carlomagno G, Papaleo E, Vailati S, Candiani M, Baillargeon J . Hyperinsulinemia Alters Myoinositol to d-chiroinositol Ratio in the Follicular Fluid of Patients With PCOS. Reprod Sci. 2014; 21(7):854-858. DOI: 10.1177/1933719113518985. View

2.
Stepto N, Cassar S, Joham A, Hutchison S, Harrison C, Goldstein R . Women with polycystic ovary syndrome have intrinsic insulin resistance on euglycaemic-hyperinsulaemic clamp. Hum Reprod. 2013; 28(3):777-84. DOI: 10.1093/humrep/des463. View

3.
Minozzi M, Nordio M, Pajalich R . The Combined therapy myo-inositol plus D-Chiro-inositol, in a physiological ratio, reduces the cardiovascular risk by improving the lipid profile in PCOS patients. Eur Rev Med Pharmacol Sci. 2013; 17(4):537-40. View

4.
Bevilacqua A, Carlomagno G, Gerli S, Oliva M, Devroey P, Lanzone A . Results from the International Consensus Conference on myo-inositol and D-chiro-inositol in Obstetrics and Gynecology--assisted reproduction technology. Gynecol Endocrinol. 2015; 31(6):441-6. DOI: 10.3109/09513590.2015.1006616. View

5.
Facchinetti F, Bizzarri M, Benvenga S, DAnna R, Lanzone A, Soulage C . Results from the International Consensus Conference on Myo-inositol and d-chiro-inositol in Obstetrics and Gynecology: the link between metabolic syndrome and PCOS. Eur J Obstet Gynecol Reprod Biol. 2015; 195:72-76. DOI: 10.1016/j.ejogrb.2015.09.024. View