polycystic ovarian syndrome, is a common reproductive illness which impacts several metabolic processes along with a number of relate Type 2 diabetes, obesity, cardiovascular disease, and insulin resistance (IR) are all made more likely by it. A consensus diagnosis among physicians is challenging because to the subjective phenomenology and the disease\'s unknown aetiology. A mix of genetic and environmental variables seems to be the root cause of this familial genetic condition. The medical disorders. Anovulation, polycystic ovaries, and hyperandrogenism are signs of PCOS. In first-degree relatives, it has been correlated with issues with metabolism. Nutraceuticals—natural bioactive compounds with health benefits— have emerged as promising adjuncts in the management of PCOS. This study focuses on the formulation and evaluation of nutraceuticals gummies designed to support hormonal balance, metabolic function, and overall reproductive health in women with PCOS. Key active ingredients including Vitamin D, Terpenoids, Curcumin, Cinnamon aldehyde, inositol. The gummy dosage form was chosen for enhanced patient compliance, palatability, and ease of consumption. Preliminary evaluations demonstrated good organoleptic properties, stability, and efficacy potential. This novel delivery system may serve as an effective, user-friendly alternative to conventional supplements, potentially improving adherence and outcomes in PCOS care.
Introduction
Polycystic Ovarian Syndrome (PCOS) is a common reproductive disorder characterized by hormonal imbalances, insulin resistance, and metabolic dysfunction, increasing risks for Type 2 diabetes, obesity, cardiovascular disease, and infertility. It is a complex, hereditary condition influenced by genetic and environmental factors, marked by anovulation, polycystic ovaries, and hyperandrogenism. Diagnosing PCOS is challenging due to varied symptoms and unclear causes. Up to 30% of infertility cases in couples seeking treatment are linked to PCOS. Despite its growing prevalence, no FDA-approved treatment currently exists.
Pathophysiology:
Excess androgen production (from ovaries or adrenal glands) occurs in over half of PCOS patients.
Insulin resistance is a core issue, exacerbated by obesity, contributing to hyperandrogenism and reproductive problems.
Hirsutism (excess hair growth) is a common clinical sign with cultural variations in perception.
Infertility arises mainly from chronic anovulation, but some women with regular ovulation also face fertility issues. PCOS increases miscarriage risk and can cause endometrial hyperplasia or cancer, especially with obesity and diabetes.
Herbal Treatments:
Herbal medicines, traditionally used and increasingly studied for PCOS, may improve symptoms with fewer side effects than conventional drugs. Examples include:
Maitake Mushroom (Grifola frondosa): Contains SX-fraction that may reduce insulin resistance and promote ovulation.
Button Mushroom: Rich in bioactive compounds with anti-inflammatory and metabolic benefits.
Turmeric (Curcumin): Has anti-inflammatory and antioxidant effects that improve insulin sensitivity, reduce oxidative stress, and regulate lipid profiles.
Cinnamon: Enhances insulin signaling and sensitivity, possibly improving metabolic and hormonal balance in PCOS.
Aloe Vera: Contains compounds that may reduce androgen secretion and restore hormonal cycles.
Gummies: A convenient delivery form for herbal/nutraceutical treatments, improving patient compliance especially for those with swallowing difficulties.
Preparation of Herbal Gummies:
Cinnamon and turmeric extracts are combined with gelatin, heated, mixed with mushroom powder and other excipients, then poured into molds and refrigerated to form gummies designed for ease of consumption.
Conclusion
Polycystic Ovary Syndrome (PCOS) is the most common endocrine disorder among young women, presenting with symptoms like insulin resistance, hormonal imbalances, hirsutism, hyperandrogenism, and menstrual irregularities (oligo/amenorrhea). While pharmacotherapy for PCOS often carries a risk of side effects, herbal medicines have emerged as a promising alternative due to their lower adverse effects. These herbal treatments show potential in improving insulin resistance, modulating hormone levels (FSH and LH), and supporting ovarian function, including the reduction or dissolution of cysts, follicular development, and ovulation, possibly leading to pregnancy. Despite these promising findings, further research is essential to validate the efficacy of herbal remedies in treating PCOS. This review highlights the potential of herbal supplements as a beneficial alternative treatment option for PCOS.
References
[1] Dason ES, Koshkina O, Chan C, Sobel M. Diagnosis and management of polycystic ovarian syndrome. Can Med Assoc J. 2024;196(3)–94. doi:10.3390/nu13020684.
[2] Deeks AA, Gibson-Helm ME, Paul E, Teede HJ. Is having polycystic ovary syndrome a predictor of poor psychological function including anxiety and depression? Hum Reprod. 2011;26(6):1399–1407. doi:10.1503/cmaj.231251.
[3] Devade OA, Londhe RD, Sokate NV, Randave UR, Ranpise PA. A review on: Polycystic ovarian disorder. Asian J Res Pharm Sci. 2011;1(4):219–226. doi:10.1093/humrep/der071.
[4] Fauser BC, Tarlatzis BC, Rebar RW, Legro RS, Balen AH, Lobo R, et al. Consensus on women’s health aspects of polycystic ovary syndrome (PCOS): the Amsterdam ESHRE/ASRM-Sponsored 3rd PCOS Consensus Workshop Group. Fertil Steril. 2012;97(1):28 38.e25.doi: 10.1016/j.fertnstert.2011.09.024.
[5] Liao B, Qiao J, Pang Y. Central regulation of PCOS: abnormal neuronal-reproductive-metabolic circuits in PCOS pathophysiology. Front Endocrinol (Lausanne). 2021 May 28;12:667422. doi: 10.3389/fendo.2021.667422.
[6] Hardiman P, Pillay OC, Atiomo W. Polycystic ovary syndrome and endometrial carcinoma. Lancet. 2003 May 17;361(9371):1810–2. doi: 10.1016/S0140-6736(03)13409-5.
[7] Insler V, Lunenfeld B. Polycystic ovarian disease: a challenge and controversy. Gynecol Endocrinol. 1990 Mar;4(1):51–70. doi: 10.3109/09513599009030691.
[8] Jahanfar S, Eden JA, Nguyen T, Wang XL, Wilcken DEL. A twin study of polycystic ovary syndrome and lipids. Gynecol Endocrinol. 1997 Apr;11(2):111–7. doi: 10.3109/09513599709152521.
[9] Joseph S, Barai RS, Bhujbalrao R, Idicula-Thomas S. PCOSKB: a knowledge base on genes, diseases, ontology terms and biochemical pathways associated with polycystic ovary syndrome. Nucleic Acids Res. 2016 Jan 4;44(D1)–5. doi: 10.1093/nar/gkv1182.
[10] Nagpal K. PCOD and PCOS-Symptoms, causes, differences & treatment. Max Healthcare. 2021 May 1. Available from: https://www.maxhealthcare.in/health-library/pcod-and-pcos-symptoms-causes-differences-treatment.
[11] Manouchehri A, Abbaszadeh S, Ahmadi M, Khajoei Nejad F, Bahmani M, Dastyar N. Polycystic ovaries and herbal remedies: a systematic review. JBRA Assist Reprod. 2023 Mar 30;27(1):85–91. doi: 10.5935/1518-0557.20220024. (unboundmedicine.com)
[12] Abasian Z, Rostamzadeh A, Mohammadi M, Hosseini M, Rafieian-Kopaei M. A review on role of medicinal plants in polycystic ovarian syndrome: pathophysiology, neuroendocrine signaling, therapeutic status and future prospects. Middle East Fertil Soc J. 2018 Dec;23(4):255–62. doi: 10.1016/j.mefs.2018.04.005.
[13] Alghamdi SA. Application of herbal medicines for obesity treatment in polycystic ovarian syndrome women. J Pure Appl Microbiol. 2020;14(2):1431–5. Doi: 10.22207/jpam.14.2.41.
[14] Karmakar M, Chakraborty B, Hussain AS, Barbhuiya PA, Chang NY, Warjri I, et al. A systemic review of pre-clinical studies of herbal plants having anti-polycystic ovarian syndrome activity: A PAN-India study. Nat Prod J. 2024;15(3).
[15] Kwon C, Cho I, Park KS. Therapeutic effects and mechanisms of herbal medicines for treating polycystic ovary syndrome: A review. Front Pharmacol. 2020;11:1192. Doi: 10.3389/fphar.2020.01192.
[16] Lakshmi JN, Babu AN, Kiran SS, Nori LP, Hassan N, Ashames A, et al. Herbs as a source for the treatment of polycystic ovarian syndrome: A systematic review. BioTech. 2023;12(1):4. Doi: 10.3389/fphar.2020.01192.
[17] Zafar N, Qureshi R, Siddiqa A, Naqvi SA, Waheed F, Mashwani Z, et al. From root to recovery: The role of herbs in polycystic ovary syndrome management. Steroids. 2025;109606. Doi: 10.3390/biotech12010004.
[18] Zambare KK, Thalkari AB, Tour NS, Reddy KV. Herbal remedies for treatment of polycystic ovary syndrome. Asian J Pharm Technol. 2019;9(2):112. Doi: 10.5958/2231-5713.2019.00019.
[19] Chen JT, Tominaga K, Sato Y, Anzai H, Matsuoka R. Maitake mushroom (Grifola frondosa) extract induces ovulation in patients with polycystic ovarian syndrome: A possible monotherapy and combination therapy after failure with first-line clomiphene citrate.
[20] Kabir Y, Yanaguchi M, Kimura S. Effect of shiitake (Lentinus edodes) and maitake (Grifola frondosa) mushrooms on blood pressure and plasma lipids of spontaneously hypertensive rats. J Nutr Sci Vitaminol (Tokyo). 1988;33(5):341–6. Doi: 10.3177/jnsv.33.341
[21] Kubo K, Aoki H, Nanba H. Anti-diabetic activity present in the fruit body of Grifola frondosa (Maitake). Biol Pharm Bull. 1994;17(8):1106–10.
[22] Horio H, Ohtsuru M. Effects of administration of Grifola frondosa on glucose tolerance and glycosuria in rats with experimental diabetes. J Jpn Soc Nutr Food Sci. 1995;48(6):299–305.
[23] Fukushima M, Ohashi T, Fujiwara Y, Sonoyama K, Nakano M. Cholesterol-lowering effects of maitake (Grifola frondosa) fiber, shiitake (Lentinus edodes) fiber, and enokitake (Flammulina velutipes) fiber in rats. Exp Biol Med (Maywood). 2001;226(8):758–65. Doi:
10.1177/153537020222600808.([researchgate.net
[24] https://pubmed.ncbi.nlm.nih.gov/11520942/?utm_source=chatgpt.com “Cholesterol-lowering effects of maitake (Grifola frondosa) fiber, shiitake (Lentinus edodes) fiber, and enokitake (Flammulina velutipes) fiber in rats – PubMed”
[25] https://www.researchgate.net/publication/11824726_Cholesterol-Lowering_Effects_of_Maitake_Grifola_frondosa_Fiber_Shiitake_Lentinus_edodes_Fiber_and_Enokitake_Flammulina_velutipes_Fiber_in_Rats?utm_source=chatgpt.com “Cholesterol-Lowering Effects of Maitake (Grifola frondosa) Fiber, Shiitake (Lentinus edodes) Fiber, and Enokitake (Flammulina velutipes)
[26] Kanaya N, Kubo M, Liu Z, Chu P, Wang C, Yuan YC, et al. Protective effects of white button mushroom (Agaricus bisporus) against hepatic steatosis in ovariectomized mice as a model of postmenopausal women. PLoS ONE. 2011 Oct 25;6(10):e26654.
[27] Rizzo G, Goggi S, Giampieri F, Baroni L. A review of mushrooms in human nutrition and health. Trends Food Sci Technol. 2021 Nov;117:60–73. Doi: 10.1016/j.tifs.2020.12.025.
[28] Matharu J. Medicinal mushrooms and female hormones. \\[Internet]. 2023. Available from:
[https://www.researchgate.net/publication/368123456\\_Medicinal\\_Mushrooms\\_and\\_Female\\_Hormones](https://www.researchgate.net/publication/368123456_Medicinal_Mushrooms_and_Female_Hormones).
[29] https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0026654&utm_source=chatgpt.com “Protective Effects of White Button Mushroom (Agaricus Bosporus) against Hepatic Steatosis in Ovariectomized Mice as a Model of Postmenopausal Women | PLOS ONE”
[30] https://agris.fao.org/search/en/providers/122535/records/65df556e4c5aef494fe1d9fd?utm_source=chatgpt.com “A review of mushrooms in human nutrition and health”
[31] Chien Y-J, Chang C-Y, Wu M-Y, Chen C-H, Horng Y-S, Wu H-C. Effects of curcumin on glycemic control and lipid profile in polycystic ovary syndrome: Systematic review with meta-analysis and trial sequential analysis. Nutrients. 2021 Feb 13;13(2):684. Doi: 10.3390/nu13020684.
[32] Kamal DAM, Salamt N, Yusuf ANM, Kashim MIA, Mokhtar MH. Potential health benefits of curcumin on female reproductive disorders: A review. Nutrients. 2021 Sep 7;13(9):3126. Doi: 10.3390/nu13093126.
[33] https://www.mdpi.com/2072-6643/13/2/684?utm_source=chatgpt.com “Effects of Curcumin on Glycemic Control and Lipid Profile in Polycystic Ovary Syndrome: Systematic Review with Meta-Analysis and Trial Sequential Analysis”