How is PCOS Treated?

Unfortunately, there is no cure for PCOS. Treatment is aimed at relieving symptoms and preventing complications:

• Birth control pills- can be used to regulate periods, reduce excess hair growth and improve acne
• Insulin-sensitizing medications- these medications can be used to regulate menstrual periods. They work by lowering insulin levels. These drugs have not yet been approved by the FDA for use in PCOS, but some women have benefitted from treatment with them
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  Clomiphene/gonadotropins- Clomiphene is often used in women with PCOS to induce ovulation, or the release of a mature egg by the ovaries. If Clomiphene is not successful in inducing ovulation, gonadotropins may be used as the next line therapy. Gonadotropins are produced naturally by the body to stimulate ovulation. IVF (in vitro fertilization) is another option for women with PCOS who are unable to get pregnant on their own.
• Drugs that block the production of androgen- these drugs can be used to treat unwanted hair growth (such as facial hair), acne and thinning scalp hair. Although their use in treating PCOS is controversial and they have not yet been approved for the treatment of PCOS, their use is promising.
• Hair removal products- medications are available that slow the growth of unwanted hair. Women may also use depilatory creams, waxing, plucking or shaving to rid themselves of unwanted hair. Laser hair removal and electrolysis are other methods to remove hair and may provide longer-lasting results.
• Hair loss medications- for women who experience thinning of scalp hair, oral or topical medications may arrest the thinning of hair.
• Proper nutrition/dietary restriction- obesity is a major health issue for many women with PCOS. Obesity can lead to other health issues, such as hypertension, coronary artery disease and Type 2 diabetes. Women with PCOS may need the assistance of a nutritionist to design a diet to combat obesity.
• Exercise- exercise can keep obesity in check and prevent some of the complications of PCOS, such as heart disease. Women should exercise regularly as part of their overall health plan.
• Skin problems- skin tags can be removed relatively easily by any physician. Acne may require treatment with potent oral medication to keep it in check. Those women with mild acne may require only a good skin care regimen.