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PCOS

Discussion in 'All Categories' started by Madhu - Jun 26th, 2025 4:58 am.
Madhu	What treatment options are available for managing PCOS symptoms, and what are the potential benefits and risks of each option?
re: PCOS by Dr. B. S. Bhalla - Jun 26th, 2025 5:00 am #1
Dr. B. S. Bhalla	Polycystic Ovary Syndrome (PCOS) is a hormonal disorder that affects many women of reproductive age. Management focuses on symptom control and preventing long-term complications. Treatment options include lifestyle changes, medications, and sometimes surgical interventions. Lifestyle Modifications: Doctors often recommend diet and exercise as the first line of treatment. A healthy diet (low in sugar and refined carbs) and regular physical activity can help regulate periods, improve insulin resistance, and support weight loss. Benefits: Natural, improves overall health, may restore ovulation. Risks: Requires long-term commitment and may not be sufficient alone. Hormonal Birth Control: Combined oral contraceptives (COCs) help regulate menstrual cycles, reduce androgen levels, and clear acne. Benefits: Controls irregular periods, lowers risk of endometrial cancer, improves skin. Risks: May cause weight gain, blood clots, or mood changes in some women. Metformin: This insulin-sensitizing drug is often prescribed to improve insulin resistance and regulate menstrual cycles. Benefits: Helps with weight loss, ovulation, and reduces risk of type 2 diabetes. Risks: Gastrointestinal side effects like nausea or diarrhea. Anti-Androgens (e.g., Spironolactone): Used to reduce excessive hair growth and acne by blocking male hormones. Benefits: Improves cosmetic symptoms. Risks: Should not be used in pregnancy; may cause menstrual irregularities. Fertility Treatments: For women trying to conceive, options include Clomiphene, Letrozole, or assisted reproductive techniques like IVF. Benefits: Increases chances of pregnancy. Risks: May cause multiple pregnancies or ovarian hyperstimulation. Surgery (Ovarian Drilling): Rarely used today, but may help induce ovulation in selected cases. Benefits: Can restore ovulation. Risks: Invasive, potential for ovarian damage.