Adjunctive berberine improves hormonal, metabolic, and inflammatory profiles in women with polycystic ovary syndrome: a retrospective case–control study - Report - MDSpire

Adjunctive berberine improves hormonal, metabolic, and inflammatory profiles in women with polycystic ovary syndrome: a retrospective case–control study

  • By

  • Lingling Gao

  • Yuxin Ju

  • Yuanyuan Zhu

  • Jianbo Xu

  • Dan Lu

  • May 22, 2026

  • 0 min

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Clinical Report: The Impact of Berberine on Women with Polycystic Ovary Syndrome

Overview

This study evaluates the effects of adjunctive berberine therapy alongside progesterone in women with PCOS. Results indicate significant improvements in weight, hormonal, metabolic, and inflammatory markers in the berberine group compared to controls.

Background

Polycystic ovary syndrome (PCOS) is a prevalent endocrine disorder affecting 5-10% of women of reproductive age, associated with insulin resistance and chronic inflammation. Standard treatments primarily focus on menstrual regulation but often neglect underlying metabolic issues. Berberine, known for its insulin-sensitizing and anti-inflammatory properties, may offer additional benefits when used alongside conventional therapies.

Data Highlights

OutcomeBerberine GroupControl Group
Weight ReductionSignificantNo Change
BMI ReductionSignificantNo Change
Fasting InsulinSignificant DecreaseNo Change
CRP LevelsSignificant DecreaseNo Change

Key Findings

  • Berberine therapy led to significant reductions in weight, BMI, and waist-to-hip ratio (WHR).
  • Post-treatment LH and LH/FSH ratios were significantly lower in the berberine group compared to controls.
  • Total testosterone levels decreased significantly in the berberine group.
  • Fasting insulin, fasting blood sugar (FBS), and HOMA-IR improved significantly in the berberine group.
  • Inflammatory markers (CRP, TNF-α, IL-6) declined significantly only in the berberine group.

Clinical Implications

The findings suggest that berberine may enhance the effectiveness of standard hormonal treatments in women with PCOS by improving metabolic and inflammatory profiles. Clinicians may consider berberine as a potential adjunct therapy, although further randomized controlled trials are necessary to confirm these results.

Conclusion

Adjunctive berberine therapy appears to offer significant benefits in managing PCOS-related symptoms and metabolic dysfunctions. Future studies are essential to validate these findings and inform clinical practice.

Related Resources & Content

  1. Frontiers in Medicine, 2026 -- Investigation of trends, hot spots and effective therapies for pregnancy outcomes in polycystic ovary syndrome
  2. Frontiers in Endocrinology, 2026 -- Effects of Tai Chi combined with dietary intervention on health-promoting lifestyle and metabolic and reproductive outcomes in female college students with polycystic ovary syndrome
  3. European Journal of Preventive Cardiology, 2026 -- Addressing Polycystic Ovary Syndrome to Mitigate Cardiovascular Disease Risk
  4. Frontiers in Endocrinology, 2026 -- Impact of a 5:2 Intermittent Fasting Regimen on Obese Women Diagnosed with Polycystic Ovary Syndrome
  5. Evidence-Based Guidelines PCOS 2023
  6. Journal of Pharmacotherapy and Clinical Practice, 2026 -- The effectiveness of nutritional supplements in improving polycystic ovary syndrome in women: a systematic review and network meta-analysis
  7. https://www.tjod.org/wp-content/uploads/2025/01/Evidence-Based-Guidelines-PCOS-2023.pdf
  8. https://www.jptcp.com/index.php/jptcp/article/download/12547/11804/24674
  9. The effectiveness of nutritional supplements in improving polycystic ovary syndrome in women: a systematic review and network meta-analysis - PubMed

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