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PCOS
Discussion in 'All Categories' started by Madhu - Jun 26th, 2025 4:58 am.
Madhu
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
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.
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