TLDR Liraglutide caused significant weight loss in some obese women with PCOS, especially those with severe obesity and insulin resistance.
In a study from 2015, 32 obese women with newly diagnosed polycystic ovary syndrome (PCOS) were treated with liraglutide or metformin for 12 weeks. The results showed significant weight loss in both treatment groups, with no significant difference between the two. However, a subgroup of 9 patients with insulin resistance and severe obesity experienced a greater reduction in BMI with liraglutide compared to metformin (2.13 kg/m² vs. 0.62 kg/m²). While metformin was more effective in reducing luteinizing hormone and total testosterone levels, liraglutide was associated with an increase in LH. The study suggests that liraglutide may be particularly beneficial for obese PCOS patients with a higher metabolic risk, but further research is needed due to the small sample size and short study duration.
343 citations,
December 2008 in “Endocrine Reviews” Metformin helps with menstrual cycles and insulin levels in PCOS but is less effective for hair growth, diabetes prevention, and weight loss, and may improve fertility and reduce diabetes risk.
44 citations,
March 2008 in “European journal of endocrinology” Women with PCOS have lower ghrelin levels and a weaker response to sugar, which might affect their feeling of fullness and lead to overeating.
467 citations,
October 2014 in “European Journal of Endocrinology” The European Society of Endocrinology advises individualized long-term management for PCOS, focusing on lifestyle changes, accurate diagnosis, and treatments for associated health risks and symptoms.
116 citations,
December 2013 in “European journal of endocrinology” Combining liraglutide and metformin helps obese women with PCOS who didn't lose weight on metformin alone to lose more weight.
1 citations,
May 2016 in “The Nurse Practitioner” Treating PCOS is complex, involving medication like metformin and lifestyle changes, and requires attention to mental health due to high depression and anxiety rates.
135 citations,
April 2017 in “Advances in Clinical and Experimental Medicine” New treatments for PCOS show promise, including both medication and non-medication options.
July 2023 in “Journal of Clinical Medicine” Tirzepatide might help manage PCOS in obese patients but needs more research to confirm safety and effectiveness.