Background: The objective of this study was to evaluate the influence of polycystic ovary syndrome (PCOS) on various laboratory measurements, especially hormonal and metabolic parameters, as well as clinical measurements including hirsutism and acne assessment, with consideration of different PCOS phenotypes. This study was focused mainly on the correlation between anti-Müllerian hormone (AMH) levels and other hormonal measurements. Methods: This single-center retrospective study included 296 patients with diagnosed PCOS according to the Rotterdam criteria. All participants of this study underwent blood tests between the 2nd and the 6th day of their menstrual cycle. Results: In statistical analysis, a strong significant correlation of AMH with androstenedione (r = 0.48, p < 0.0001), luteinizing hormone (LH) (r = 0.45, p < 0.0001), total testosterone (r = 0.34, p < 0.0001), 17-hydroxyprogesterone (r = 0.31, p < 0.0001), and cortisol after dexamethasone (r = 0.15, p = 0.011) was observed. In addition, significant negative correlations were found with follicle-stimulating hormone (FSH) (r = −0.21, p < 0.0001), weight (r = −0.15, p = 0.010), glucose 0′ (r = −0.14, p = 0.014), hip circumference (r = −0.14, p = 0.017), and body mass index (BMI) (r = −0.14, p = 0.018). A weak correlation with waist circumference of p = 0.06 was also observed. Conclusions: AMH serum levels showed a positive correlation with hyperandrogenism and a negative correlation with metabolic factors, although its relationship with BMI is more complex. There were no significant differences in AMH levels across the four PCOS phenotypes or when categorized into hyperandrogenic and normoandrogenic subtypes.

Background: Insulin resistance, visceral adiposity, excess body weight, and symptoms of hyperandrogenism often accompanies Polycystic Ovary Syndrome (PCOS). A balanced diet plays a key role in improving the metabolic and biochemical parameters in affected women. This study aims to assess whether dietary improvements in patients with suspected PCOS may affect the severity of the disease and the metabolic and hormonal profile. Methods: The analysis of the relationships between self-declared nutritional changes and biochemical and metabolic parameters included 154 women at the same stage of PCOS diagnosis. Results: Over half of participants reported dietary modifications. Women reducing sweets, fatty red meat, and alcohol intake for >6 months had significantly lower total testosterone (TT) levels compared to those who did not (p < 0.05). Mean TT levels were: 0.375 ± 0.18 ng/mL (median 0.340) vs. 0.787 ± 2.19 ng/mL (median 0.390) for red meat (p = 0.008), 0.359 ± 0.18 ng/mL (median 0.335) vs. 0.681 ± 1.9 ng/mL (median 0.4) for sweets (p = 0.02), and 0.388 ± 0.19 ng/mL (median 0.34) vs. 0.917 ± 2.65 ng/mL (median 0.425) for alcohol (p = 0.004). Patients with dietary changes in the past 6 months had higher androgen levels, BMI, systolic blood pressure and triglycerides than patients with long-term dietary changes (p < 0.05). There were no statistically significant differences in key metabolic and biochemical parameters when comparing self-reported diets based on glycemic index (low vs. high). Conclusions: A healthy, balanced diet for women with PCOS requires a multifaceted approach with clear, defined goals. This leads to better results than broad, general dietary recommendations. Long-term dietary changes improve biochemical and metabolic parameters, but maintaining these benefits requires continuous patient motivation.