Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Gynecology and Obstetrics

This study was conducted to determine the effect of reducing abdominal obesity on antimullerian hormone level in obese infertile female. Thirty obese polycystic females participated in the study. They were selected from the gynecology outpatient clinic at El-Sahel Teaching Hospital. Their age ranged from 25 to 35 years and body mass index (BMI) was >30 . They were randomly distributed into two equal groups: Control group received low caloric diet (1200 kcal/day) for 3 months and they were encouraged to do physical activity in the form of walking for one hour 3 times/week and study group received the same low caloric diet (1200 kcal/day) for 3 months as well as physical activity in the form of walking for one hour 3 times/week in addition to cavitation ultrasound therapy on the abdominal region for 30 minutes/session, one session/two weeks for 3 months. Dietary program was modified every week for all women in both groups. Assessment of all women in both groups was carried out before and after the end of the treatment program (3 months) through assessment of weight, BMI, waist/hip ratio and level of antimullerian hormone. Results: revealed that the control group showed a statistical significant decrease in BMI, waist/hip ratio (P=0.001) and AMH (P=0.003) in post-treatment. Also, study group showed statistical significant decrease in BMI, waist/hip ratio and AMH (P=0.001) in post-treatment. Compared to the control group, study group showed non-significant decrease (P=0.683) in BMI, statistically significant decrease in wais/hip ratio (P=0.038) and AMH (P=0.045). Conclusion: usage of ultrasound cavitation is an effective method for reducing abdominal obesity and reducing AMH level in obese women with PCOS

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