Treatment of PCOS

Treatment focus on managing your concerns, such as infertility, hirsutism, acne or increased body weight. Specific treatment may involve lifestyle changes, medication or both. Doctor may recommend weight loss through a special diet plan combined with specific exercise activities. Even a little reduction in your body weight — for example, losing 4 to 5% of your body weight — may improve your condition. Decreased weight may also increase the effectiveness of medicine that your doctor recommends for PCOS, and also can help with infertility problem.

Medications

To improve your menstrual cycle, your doctor may recommend:

  • Combination OCP (birth control pills) : These Pills that contain estrogen and progestin decreases androgen hormone production and also regulate estrogen. Improving your hormones can lower your risk of endometrial cancer and correct menstural irregularities , excess facial and body hair growth and pimples . Instead of pills, you may use a skin patch or vaginal ring containing same drug.
  • Progestin therapy: Taking progestin therapy can regulate your periods and protect against endometrial cancer. Progestin therapy does not improve androgen levels and not prevent pregnancy. The progestin-only minipill or progestin-containing intrauterine device is an alternative choice.

To Help You Ovulate And Solving Infertility, Your Doctor May Recommend

  • Clomiphene : This oral anti-estrogen medicine is taken during the early part of your menstrual cycle, for stimuating ovaries to form proper egg.
  • Letrozole : This treatment can work to stimulate the ovaries to form proper egg.
  • Metformin : This oral medicine for diabetes helps in improving insulin resistance and lowers blood insulin levels. If you have     prediabetes, metformin can also slow the progression to diabetes and also helps with weight loss.
  • Gonadotropins: These hormones are given by injections for ovulation.

To Reduce Excessive Hair Growth, Your Doctor Might Recommend

Birth Control Pills : Regulates androgen production that causes excessive hair growth

Spironolactone (Aldactone) : This Medicine blocks that effects of androgen on the skin. It is not recommended if you are pregnant or planning pregnancy.

Eflornithine : This cream can slow facial hair growth in women.

Diode Laser : It is  now a gold standard treatment for getting rid from unwanted hair. Multiple sessions are usually required.