Effect of UC Versus EA on Sex Hormones in Obese Infertile Patients With PCOs

Study Overview
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Brief Summary
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The aim of this study is to determine the difference between the effect of Ultrasound Cavitation and Elctroacupuncture on sex hormones in obese infertile patients with poly cystic ovarian syndrome …………………………………………………………………… BACKGROUND: Polycystic ovary syndrome (PCOS) is a common endocrine and metabolic disorder that occurs in 6 - 10% of women at the reproductive age. It is associated with an-ovulation, infertility, hyperandrogenism, obesity and insulin resistance. Endocrine characteristics of PCOS are elevated serum concentrations of androgens and Luteinizing hormone (LH) and decreased concentrations of sex hormone binding globulin (SHBG). Ultrasound cavitation is the method in handling Subcutaneous Adipose Tissue (, especially in destroying subcutaneous fat and shaping a particular part of the body. As one of the non-surgical correction method, UC is preferred for lowering the risk of complications due to obesity. UC reported a greater decrease of the WHR, suggesting a valuable modification of fat distribution pattern, especially at the abdominal level. It improves rates of ovulation, provides higher incidence of regular menstrual cycles and lower levels of total testosterone. Acupuncture is a treatment method used in Traditional Chinese Medicine. Electroacupuncture promotes follicle development and corrects reproductive endocrine dysfunction in ovaries by regulating the functions of the hypothalamus, pituitary and ovaries

Detailed Description
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This study will be designed as prospective, randomized, single blind, experimental, pre-post test , controlled- trial study. Simple Size Calculation: I- Subjects: Forty obese infertile patients with poly cystic ovarian syndrome will participate in this study to determine the difference between the effect of Ultrasound Cavitation and Elctroacupuncture on sex hormones. They will be selected randomly from Out Patient Clinic of Aga Hospital Central, in Aga. All patients will be divided randomly into two equal groups (A&B). Group A: twenty obese infertile patients with PCO who will be treated by ultrasound cavitation, 2 times per week for 3 months with medical treatment and hypocaloric diet (1200 kcal/day) Group B: twenty obese infertile patients with PCO who will be treated by electroacupuncture, 3 times per week for 3 months with medical treatment and hypocaloric diet (1200 kcal/day) II- Instrumentations: Recording data sheet (Appendix II). Standard weight height scale: measure BMI Tape measurement: measure waist/hip ratio. Test tubes: used to collect the blood samples from obese infertile patients Kites: used for assessment of serum progesterone level, testosterone, LH and FSH. Abdominal ultrasongraphy: measure ovulation rate. cavitation in group A 8- electroacupuncture in group B

Official Title
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Effect of Ultrasound Cavitation Versus Electro Acupuncture on Sex Hormones in Obese Infertile Patients With Polycystic Ovarian Syndrome

Conditions
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Polycystic Ovary Syndrome

Intervention / Treatment
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* Device: Ultrasound cavitation in group A
* Device: Electro acupuncture in group B


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Their ages will be ranged between 20-35 year old. Their body mass index will be ranged from 30-40 kg/m2. All of them are married women. Exclusion Criteria: Women will be excluded if they have one of the following criteria: Diabetes mellitus. Thyroid dysfunction. Concomitant cardiovascular disorders. Respiratory, renal and liver dysfunction. Tubal adhesions as well as uterine abnormalities.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group USC<br>Effect of ultrasound cavitation sessions on sex hormones in obese infertile patients with poly cystic ovarian syndrome | Device: Ultrasound cavitation in group A<br>* Group A: twenty obese infertile patients with PCO who will be treated by ultrasound cavitation, 2 times per week for 3 months with medical treatment and hypocaloric diet (1200 kcal/day)<br>|
| Experimental: Group EA<br>Effect of electro acupuncture on sex hormones in obese infertile patients with poly cystic ovarian syndrome | Device: Electro acupuncture in group B<br>* Group B: twenty obese infertile patients with PCO who will be treated by electroacupuncture, 3 times per week for 3 months with medical treatment and hypocaloric diet (1200 kcal/day)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| weight | It will be use weight scale to measure weight to calculate the body mass index (BMI) for each woman. | up to 12 weeks | 
| waist/hip ratio: | It will be use tape measurement to calculate the waist/hip ratio. | up to 12 weeks | 
| Testosterone hormones : | They will be use kites for assessment of level of testosterone hormones | up to 12 weeks | 
| FSH Hormone | They will be use kites for assessment of level of FSH hormones | up to 12 weeks | 
| Lh hormones | They will be use kites for assessment of level of LH hormones | up to 12 weeks | 
| Progesterone hormones | They will be use kites for assessment of level of progesterone hormones | up to 12 weeks | 
| Height | It will be use tape measurement to measure height to calculate the body mass index (BMI) for each woman. | up to 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Ovulation rate | It will be use ultrasonography for measuring ovulation rate. | up to 12 weeks |