PCOS Treatment

Polycystic ovary syndrome (PCOS) is a hormonal disorder in women of reproductive age caused by an imbalance of hormones in the ovaries. It is marked by the development of cysts on the ovaries that disrupts normal reproductive function and can affect ovulation.

Women with PCOS commonly experience irregular or prolonged menstrual cycles and heavy bleeding, reduced or absent ovulation, acne and oily skin, excessive weight gain, male-pattern hair thinning, and abnormal hair growth on areas such as the face, neck, chest, and abdomen. Contributing factors include obesity, insulin resistance, inflammation, genetics, and lifestyle.

The doctor reviews your medical history and symptoms and carries out a preliminary physical examination. Diagnosis is supported by a pelvic ultrasound to look at the ovaries and hormonal blood tests to evaluate androgen levels.

Management is multifaceted and tailored to your goals. It may combine lifestyle changes such as weight reduction and a diet rich in vegetables, fruit, nuts, legumes, and healthy fats; medications including birth-control pills to regulate cycles, ovulation-stimulating drugs to support fertility, and diabetes medicines to address insulin resistance; and, when medication is not effective, laparoscopic ovarian drilling.