Hydrotherapy Application for Women with Polycystic Ovary Syndrome: a Randomized Study

INTRODUCTION. Recently, alternative methods of treating patients with menstrual disorders have become increasingly in demand. One of these methods is hydrotherapy, which has a complex effect on the body. AIM. To evaluate the effectiveness of contrast baths and underwater shower-massage as part of complex treatment of women with polycystic ovary syndrome. MATERIAL AND METHODS. A prospective randomized study was conducted in 120 women with polycystic ovary syndrome, grade 1 obesity, and menstrual irregularities. During the study, 2 groups were allocated by randomization: the first (main) included 60 patients, whose treatment included a special diet and a 24-day course of hydrotherapy, consisting of a single daily intake of fresh water contrast baths (12 days), alternating every other day with underwater shower-massage procedures (12 days). The second group, the control group, was represented by 60 patients who received only a special diet. RESULTS AND DISCUSSION. After treatment, a significantly significant decrease in body mass index was noted in both groups of the study (by 4.9 % in the control group and by 11.3 % in the main group). In women receiving a course of hydrotherapy, there was an improvement in lipid and carbohydrate metabolism with a decrease in the atherogenic index by 36.1 % and an insulin resistance index by 31.0 %, as well as an improvement in indicators of psycho-emotional state, characterized by a decrease in situational anxiety on the Spielberger Hanin scale (p 0.05) and improvement in overall mood on the “Well-being, activity, mood” scale (p 0.05). CONCLUSION. Based on the results of the study, it was proven that the use of hydrotherapy in complex treatment programs for women with polycystic ovary syndrome is an effective and safe method that can be included in standard treatment regimens for this condition.