Diaphragmatic Breathing Exercises on Sleep Disorders un Polycystic Ovarian Syndrome

Polycystic ovarian syndrome (PCOS) is the most common endocrine disorder in females in reproductive age and not completely understood. Women with PCOS appear to have an increased frequency of sleep problems. Diaphragmatic Breathing (DB) exercises has positive effects on improving sleep quality. The purpose of this study will evaluate the effect of diaphragmatic breathing exercises on improving sleep quality in polycystic ovarian syndrome women.

Inclusion Criteria: * Women aged from 25-35 years old, Diagnosed with PCOS by gynecologist, diagnosis of PCOS will be based on the 2003 Rotterdam criteria. * They have a Pittsburgh sleep quality index (PSQI) score greater than 5. * Not participating in any physical exercise for the previous 3 months. * They have an insomnia severity index score greater than 15. * They have a fatigue severity scale score greater than 36. * Ability to use internet and phone services Exclusion Criteria: * • Women with autoimmune diseases and cancer. * Women with neurological, mental, cardiopulmonary and musculoskeletal disorders. * Pregnant or lactating women. * Women who showed regular adherence to sleeping pills, antidepressants and hormonal replacement agents. * Inability to perform diaphragmatic breathing due to physical limitations. * Women who participate or receive any interventions that could affect their sleep