There is no absolute cure for PCOS, it needs to be managed on a long term basis to prevent problems. Treatment goals are based on your symptoms, whether or not you want to become pregnant, and lowering your chances of getting heart disease and diabetes. Many women will need a combination of treatments to meet these goals. Some treatments for PCOS include:
This is the most important treatment for women with PCOS. You can help manage your PCOS by eating healthy and exercising to keep your weight at a healthy level. Healthy eating tips include:
This helps to lower blood glucose (sugar) levels, improve the body’s use of insulin, and normalize hormone levels in your body. Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular.
For women who don’t want to get pregnant, COC pills (birth control pills) can help to control menstrual cycles, reduce male hormone levels and help to clear acne. However, the COC pills do increase appetite and encourage fluid retention in some women, hence making the goal of weight loss more difficult. Also, keep in mind that the menstrual cycle will become abnormal again if the pill is stopped.
The medicine Metformin which is used to treat type 2 diabetes, has also been found to help with PCOS symptoms. Metformin improves the sensitivity of the body cells to insulin and affects the way insulin controls blood glucose (sugar) and lowers testosterone production. It slows the growth of abnormal hair and, after a few months of use, may help ovulation to return. Recent research has shown metformin to have other positive effects, such as decreased body mass and improved cholesterol levels. Metformin also helps to reduce the miscarriage risk associated with PCOS.