exercise and low gi diet with proper medication is the key treatment of pcos.
Weight gain and obesity is common in women with PCOS. Losing weight can help treat the hormone changes and health conditions such as diabetes, high blood pressure, or high cholesterol.
Losing just 5% of your body weight can help your hormone imbalance and may make it easier to get pregnant. For an 160 pound woman, that's just 8 pounds!
Diet : Where PCOS is associated with overweight or obesity, successful weight loss is the most effective method of restoring normal ovulation/menstruation, but many women find it very difficult to achieve and sustain significant weight loss. Low-carbohydrate diets and sustained regular exercise may help. Some experts recommend a low GI diet in which a significant part of total carbohydrates are obtained from fruit, vegetables and whole grain sources.A low-glycemic diet is a weight loss diet based on controlling blood sugar.Vitamin D deficiency may play some role in the development of the metabolic syndrome,so treatment of any such deficiency is indicated.Your doctor may recommend birth control pills to make your periods more regular. Such medicines may also help reduce abnormal hair growth after you take them for a few months.
A diabetes medicine called glucophage (metformin) may also be recommended to:
A pelvic laparoscopy may be done to remove to remove or alter an ovary to treat infertility. The effects are temporary.
Menstrual irregularity and endometrial hyperplasia : If fertility is not the primary aim, then menstruation can usually be regulated with a contraceptive pill. The purpose of regulating menstruation is essentially for the woman's convenience, and perhaps her sense of well-being; there is no medical requirement for regular periods, so long as they occur sufficiently often . If a regular menstrual cycle is not desired, then therapy for an irregular cycle is not necessarily required – most experts consider that if a menstrual bleed occurs at least every three months, then the endometrium (womb lining) is being shed sufficiently often to prevent an increased risk of endometrial abnormalities or cancer.If menstruation occurs less often or not at all, some form of progestogen replacement is recommended.Some women prefer a uterine progestogen device such as the intrauterine system (Mirena) or the progestin implant (Nexplanon), which provides simultaneous contraception and endometrial protection for years. An alternative is oral progestogen taken at intervals (e.g. every three months) to induce a predictable menstrual bleeding.
Alternative medicineThere is insufficient evidence to conclude a effect from D-chiro-inositol.myo-Inositol however appears to be effective
Losing just 5% of your body weight can help your hormone imbalance and may make it easier to get pregnant. For an 160 pound woman, that's just 8 pounds!
Diet : Where PCOS is associated with overweight or obesity, successful weight loss is the most effective method of restoring normal ovulation/menstruation, but many women find it very difficult to achieve and sustain significant weight loss. Low-carbohydrate diets and sustained regular exercise may help. Some experts recommend a low GI diet in which a significant part of total carbohydrates are obtained from fruit, vegetables and whole grain sources.A low-glycemic diet is a weight loss diet based on controlling blood sugar.Vitamin D deficiency may play some role in the development of the metabolic syndrome,so treatment of any such deficiency is indicated.Your doctor may recommend birth control pills to make your periods more regular. Such medicines may also help reduce abnormal hair growth after you take them for a few months.
A diabetes medicine called glucophage (metformin) may also be recommended to:
- Make your periods regular
- Prevent type 2 diabetes
- Help you lose weight when you follow a healthy diet
- LH-releasing hormone (LHRH) analogs
- Clomiphene citrate, which helps your ovaries grow and release eggs
- Hirsutism and acne : When appropriate (e.g. in women of child-bearing age who require contraception), a standard contraceptive pill is frequently effective in reducing hirsutism.A common choice of contraceptive pill is one that contains cyproterone acetate; in the UK the available brands are Dianette/Diane. Cyproterone acetate is a progestogen with anti-androgen effects that block the action of male hormones that are believed to contribute to acne and the growth of unwanted facial and body hair. On the other hand, progestogens such as norgestrel and levonorgestrel should be avoided due to their androgenic effects. Other drugs with anti-androgen effects include flutamide and spironolactone, which can give some improvement in hirsutism. Spironolactone is probably the most-commonly used drug in the US. Metformin can reduce hirsutism, perhaps by reducing insulin resistance, and is often used if there are other features such as insulin resistance, diabetes or obesity that should also benefit from metformin. Eflornithine (Vaniqa) is a drug which is applied to the skin in cream form, and acts directly on the hair follicles to inhibit hair growth. It is usually applied to the face.Medications that reduce acne by indirect hormonal effects also include ergot dopamine agonists such as bromocriptine. 5-alpha reductase inhibitors (such as finasteride and dutasteride) may also be used;they work by blocking the conversion of testosterone to dihydrotestosterone (the latter of which is responsible for most hair growth alterations and androgenic acne).
- Although these agents have shown significant efficacy in clinical trials (for oral contraceptives, in 60–100% of individuals, the reduction in hair growth may not be enough to eliminate the social embarrassment of hirsutism, or the inconvenience of plucking or shaving. Individuals vary in their response to different therapies. It is usually worth trying other drug treatments if one does not work, but drug treatments do not work well for all individuals. For removal of facial hairs, electrolysis or laser treatments are – at least for some – faster and more efficient alternatives than the above mentioned medical therapies
- Spironolactone or flutamide pills
- Eflornithine cream
- Electrolysis
- Laser hair removal - works best on very dark hair that covers large areas
A pelvic laparoscopy may be done to remove to remove or alter an ovary to treat infertility. The effects are temporary.
Menstrual irregularity and endometrial hyperplasia : If fertility is not the primary aim, then menstruation can usually be regulated with a contraceptive pill. The purpose of regulating menstruation is essentially for the woman's convenience, and perhaps her sense of well-being; there is no medical requirement for regular periods, so long as they occur sufficiently often . If a regular menstrual cycle is not desired, then therapy for an irregular cycle is not necessarily required – most experts consider that if a menstrual bleed occurs at least every three months, then the endometrium (womb lining) is being shed sufficiently often to prevent an increased risk of endometrial abnormalities or cancer.If menstruation occurs less often or not at all, some form of progestogen replacement is recommended.Some women prefer a uterine progestogen device such as the intrauterine system (Mirena) or the progestin implant (Nexplanon), which provides simultaneous contraception and endometrial protection for years. An alternative is oral progestogen taken at intervals (e.g. every three months) to induce a predictable menstrual bleeding.
Alternative medicineThere is insufficient evidence to conclude a effect from D-chiro-inositol.myo-Inositol however appears to be effective