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2025 Year-in-Review

2025 Year-in-Review: PCOS

Phenotype-stratified care became mainstream. Inositol gained evidence. GLP-1 for PCOS-associated insulin resistance debated.

Major studies

Inositol vs metformin RCT

Inositol non-inferior to metformin for cycle restoration in insulin-resistant phenotype. Better tolerance.

GLP-1 for PCOS observational cohort

Significant weight + A1c improvement. Off-label use rising.

Brand changes

  • Allara: Expanded to include reproductive endocrinology.
  • Beli Health: Launched PCOS-specific care package.

Policy shifts

  • AACE published updated PCOS guidelines emphasizing phenotype
  • Insurance increasingly covering metformin off-label for PCOS

What changed this year

PCOS care moved from generic to phenotype-stratified. Multi-disciplinary models gained traction.

What to watch next

PCOS subtyping AI tools. GLP-1 PCOS-specific RCT readouts.

Other year-in-reviews

2025 Year-in-Review: Menopause2025 Year-in-Review: GLP-1 / Weight Management