Pilates in Women with Polycystic Ovary Syndrome:

INTERVENTION: Pilates home based supervised program walking group CONDITION: ; Musculoskeletal Diseases ; Nutritional, Metabolic, Endocrine ; PCOS:Polycystic Ovary Syndrome: recetly updated to Polyendocrine Metabolic Ovarian Syndrome (PMOS) Musculoskeletal Diseases Nutritional, Metabolic, Endocrine PCOS:Polycystic Ovary Syndrome: recetly updated to Polyendocrine Metabolic Ovarian Syndrome (PMOS) PRIMARY OUTCOME: Anthropometric and Clinical Variables Change in Insulin Resistance HOMA‐IR body composition Body Fat Percentage SECONDARY OUTCOME: Metabolic and Lipid Parameters Endocrine Variables (Hormonal Panel) Menstrual Cycle Regularity Pittsburgh Sleep Quality Inde X(PSQI) Hospital Anxiety and Depression Scale (HADS) Change in Prevalence and Location of Musculoskeletal Symptoms (Nordic Questionnaire) pain intensity VAS Change in Chronic Fatigue and Health‐Related Quality of Life INCLUSION CRITERIA: Women of reproductive age (18 to 40 years). Confirmed diagnosis of PCOS according to the Rotterdam criteria (presence of at least two of the following three features: oligo‐ or anovulation, clinical or biochemical hyperandrogenism, and polycystic ovaries on ultrasonography). Patients receiving follow‐up care at the Endocrinology Department of Farhat Hached University Hospital in Sousse.