Lifestyle and Complementary Approaches to Polycystic Ovary Syndrome During Perimenopause and Menopause A Scoping Review

Abstract

Polycystic Ovary Syndrome (PCOS) persists across the lifespan, yet management during perimenopause and menopause remains underexplored. This scoping review examined non-pharmacological and non-surgical interventions for adult women with PCOS, with particular attention to lifestyle modifications, complementary approaches, and the influence of chronic pain and mental health on quality of life. Guided by the Arksey and O’Malley five-step framework and Joanna Briggs Institute recommendations, studies published in English from 2000 to 2024 were included. Eligible studies examined adult women with PCOS during perimenopause, menopause, or both, and reported on lifestyle interventions, complementary therapies, chronic pain, or quality-of-life outcomes. Twenty-nine studies met inclusion criteria. Diet and physical activity were the most commonly investigated interventions. More than 15 supplement categories were identified; however, none specifically targeted chronic pain or mental health outcomes. Only two studies addressed chronic pain management, both through dietary supplements. Exercise was the only intervention associated with mental health outcomes. PCOS management during perimenopause and menopause requires a holistic, person-centered approach integrating lifestyle and complementary strategies to address physical, hormonal, chronic pain, and mental health challenges.