I am 25 old. I suffering from bilateral ovaries show pcod changes ()L>R),thickened endometrium measuring -23mm,grade -2 fatty liver.

Obesity, particularly central adiposity and insulin resistance are the main factors linked to NAFLD in PCOS. Existing data suggests that excess of androgen, the main feature of PCOS and is interconnected to insulin resistance, can be considered as additional causative factor in development of NAFLD.

Lifestyle changes include low-fat diet, weight loss and exercise are considered to be suitable for management of PCOS patients with NAFLD. In case pharmacologic therapy, metformin or pioglitazone and Vitamin A is usually prescribed.