The symptoms of polycystic ovarian syndrome (PCOS), a complicated disorder that impacts hormone levels, ovulation, and metabolism, can range from irregular periods and excessive hair growth to infertility. A person’s symptoms, health objectives, and whether they want to control PCOS or increase fertility will all influence the best course of treatment.
Lifestyle changes: The foundation of PCOS management
A common component of PCOS treatment is changing one’s lifestyle. A healthy diet, consistent exercise, and weight control can all greatly reduce symptoms. Reducing insulin resistance, improving fertility, and regulating periods can all be achieved with even modest weight loss (5–10% of body weight).
Hormonal treatments: Regulating cycles and managing symptoms
In order to control menstrual cycles and lessen symptoms like acne and excessive hair growth, hormonal contraceptives—like the combined pill—are frequently prescribed. If contraception is not necessary, other options include progestogen-only pills or a Mirena coil to protect the lining of the womb.
Managing insulin resistance: Metformin
Women with PCOS who have prediabetes or insulin resistance are frequently prescribed metformin. In certain patients, this drug may aid in weight loss and ovulation by enhancing the body’s ability to process sugar.
Ovulation induction: For women trying to conceive
Ovulation induction drugs, such as letrozole or clomifene, can be useful for people who want to increase their fertility. These medications raise the likelihood of conception by inducing ovulation. Gonadotropins or IVF (in vitro fertilization) may be suggested for women who do not respond to these drugs.
Cosmetic treatments: Addressing physical PCOS symptoms
For women with PCOS, excessive hair growth or loss can be upsetting. Laser hair removal, electrolysis, and topical drugs like eflornithine are examples of treatments that can be beneficial. Acne can be treated with dermatological procedures.
Holistic approaches and newer options
Stress related to PCOS can also be relieved by acupuncture and mindfulness-based therapies. An emerging treatment is inositol, a supplement that is supposed to restore hormonal balance and improve insulin sensitivity. But it’s crucial to keep in mind that inositol isn’t a proven evidence-based treatment, so before using it, it’s advisable to exercise caution and consult a specialist.
A personalised approach is key
There isn’t a single treatment for PCOS that works for everyone. In order to manage this condition, a combination of lifestyle modifications, medical interventions, and emotional support is frequently used to address symptoms and underlying problems. A treatment plan can be customized to meet the needs of each patient by scheduling a consultation with an endocrinologist, gynecologist, or fertility specialist. Diabetes, metabolism, and endocrinology in Nottinghamshire