Effects of Wet-Cupping on Polycystic Ovary Syndrome Patients

Exclusion Criteria

• •Known diagnosis of uncontrolled thyroid dysfunction.
• •Diagnosis of diabetes mellitus.
• •Elevated FSH levels above 20 mIU/mL.
• •Hyperprolactinemia with serum levels above 1000 mIU/L.
• •Pregnant or lactating women.
• •Known coagulation disorders.
• •Anemia with hemoglobin levels less than 10 g/dL.
• •History of undergoing dry cupping, wet cupping, or acupuncture in the past 6 months.
• •History of surgical removal of both ovaries or the uterus.
• •Other causes of hyperandrogenism, including:
• •Late-onset non-classic 21-hydroxylase deficiency (excluded clinically; lab investigation if clinically indicated).
• •Ovarian androgen-secreting tumors.
• •Use of anabolic or androgenic drugs.
• •Cushing's syndrome.
• •Hypothalamic or pituitary disorders causing amenorrhea.
• •Primary ovarian insufficiency.