Objectives: A comparison between clinical, metabolic and endocrine effects of n-acetylcystein and metformin in women with poly cystic ovarian syndrome (PCOS).
Design: Double blind randomized clinical trial.
Setting and conduct: The patients will randomly assign into the two groups and will receive treatment for 24 weeks.
Participants: Women with poly cystic ovarian syndrome
Inclusion criteria: 20-36 years old, having poly cystic ovarian syndrome; (Rotterdam society criteria : 2 of 3; having 2 out of 3 criteria including oligo or anovulation, hyperandrogenemia or hyperandrogenism, poly cystic ovaries in ultrasound).
Exclusion criteria: known other systemic and metabolic disorders, congenital adrenal hyperplasia, Cushing syndrome, androgen producing tumors, hyperprolactinemia, hypo or hyper thyroidism, diabetes mellitus, history of peptic ulcer, and any other drug use.
Intervention: In one group n-acetylcystein and in the other group metformin will prescribe for 24 weeks.
Main outcome: Change in menstrual cycle, weight, body mass index, fasting blood sugar, serum insulin, low density lipoprotein, HOMA index and high density lipoprotein.