Polycystic Ovarian Syndrome (PCOS) Management in Indian Women: Through Native Diet and Gut Microbiota Regulation

Polycystic ovarian syndrome (PCOS) has become a common metabolic syndrome among women globally. In recent times, Indian women are more prone to PCOS following unhealthy eating patterns that involve overconsumption of commercially available Western diets (WD), including sugary food and processed food (PF). Ingestion of WDs and PFs causes dysbiosis (DB) in the gut. Dysbiosis (DB) – an imbalance between beneficial and pathogenic gut bacteria is suspected to undermine the health of the intestine by triggering obesity, insulin resistance (IR), disrupted ovulation (DO), and hyperandrogenism (HA). DO is termed anovulation. Pregnant women who consume commercial foods are prone to intergenerational implications for PCOS risk. Following dietary patterns focusing on GM regulation, such as probiotics and prebiotics, are emerging. Consumption of such a diet can regulate GM and revert the associated metabolic disorders (MD), such as IR, inflammation, and HA, which are the leading factors of PCOS. Emphasizing the choice of traditional, home-cooked food can address nutritional deficiencies and support gut health. The systematic review renders the effect of dietary choices on GM in PCOS regulation.