Highlights
•Polycystic ovary syndrome (PCOS) is an endocrinopathy causing infertility.
•Insulin resistance, obesity, cardiovascular problems, and psychological issues are its co-morbidities.
•It's a polygenic, polyfactorial, systemic, inflammatory, autoimmune disease.
•Treatment option of PCOS include metformin, and hormone therapy.
•Avoidance of acidosis and inflammatory agents can prevent PCOS.

Abstract
Polycystic ovary syndrome (PCOS) is an endocrine disorder, afflicting females of reproductive age. This syndrome leads to infertility, insulin resistance, obesity, and cardiovascular problems, including a litany of other health issues. PCOS is a polygenic, polyfactorial, systemic, inflammatory, dysregulated steroid state, autoimmune disease, manifesting largely due to lifestyle errors.

The advent of biochemical tests and ultrasound scanning has enabled the detection of PCOS in the affected females. Subsequently, a huge amount of insight on PCOS has been garnered in recent times. Interventions like oral contraceptive pills, metformin, and hormone therapy have been developed to bypass or reverse the ill effects of PCOS.

However, lifestyle correction to prevent aberrant immune activation and to minimize the exposure to inflammatory agents, appears to be the sustainable therapy of PCOS. This holistic review with multiple hypotheses might facilitate to devise better PCOS management approaches.

SeemaPatel
Bioinformatics and Medical Informatics Research Center, San Diego State University, Campanile Dr, San Diego, CA, 92 182, USA
Journal of Steroid Biochemistry and Molecular Biology, Available online 17 April 2018
DOI: https://doi.org/10.1016/j.jsbmb.2018.04.008