Evidence map›Paper›PMID 40842765›Full record

ReviewCureus2025

Revisiting Metformin in the Management of Polycystic Ovary Syndrome (PCOS).

Venkata Madhavi Latha Telagarapu, Priyanka Devi Nallamothu, Venkata Nikhila Telagarapu, Srikar Raja Chowdary Nalluri, Saispoorthy Nathani, Chandu Priya Kopani, Vishnu Yarraguntla, Sriharika Vyasalapu

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Venkata Madhavi Latha TelagarapuInternal Medicine, Private Practice, New York, USA.
Priyanka Devi NallamothuSurgery, Siddhartha Medical College, Vijayawada, IND.
Venkata Nikhila TelagarapuGenomic Medicine, Cleveland State University/Cleveland Clinic, Cleveland, USA.
Srikar Raja Chowdary NalluriSurgery, Siddhartha Medical College, Vijayawada, IND.
Saispoorthy NathaniMedicine and Surgery, Kasturba Medical College, Manipal, IND.
Chandu Priya KopaniSurgery, Siddhartha Medical College, Vijayawada, IND.
Vishnu YarraguntlaSurgery, Siddhartha Medical College, Vijayawada, IND.
Sriharika VyasalapuSurgery, Siddhartha Medical College, Vijayawada, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polycystic ovary syndrome (PCOS) is the most common endocrine disorder that significantly affects both obese and non-obese women of reproductive age. Besides genetic and epigenetic factors, obesity and insulin resistance (IR) play a key role in the pathogenesis of PCOS, contributing to its endocrine, reproductive, and metabolic manifestations. Even though metformin remains a well-established treatment in the management of PCOS, emerging therapies and integrative approaches warrant comparison. This narrative review aims to understand the pathophysiology of PCOS and compare the role of metformin with that of new emerging therapies, including sodium-glucose cotransporter-2 (SGLT-2) inhibitors, oral contraceptive pills (OCPs), inositol supplements, and lifestyle modifications, thereby empowering clinicians to provide personalized medicine based on each patient's unique presentation. This review explores the safety, efficacy, and clinical outcomes of these interventions on weight reduction, hormonal balance, menstrual regularity, and metabolic outcomes in both obese and non-obese women with PCOS.

Indexed as

anovulationhyperandrogenismhyperinsulinemiahypothalamusmetforminmyo-inositolobesityoral contraceptive pillspcossodium-glucose cotransporter-2 (sglt-2) inhibitors

Identifiers

PMID40842765
PMCPMC12365705

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.