Treatment for PCOS will depend on the requirements of the individual patient. For those women who are not looking to become pregnant at this stage, the oral contraceptive pill is often prescribed. If there are particular skin problems, then a particular brand called ‘Dianette’ is helpful for acne and unwanted hair growth. If patients are hoping to conceive, then ovulation can be assisted with the use of Clomifene tablets. An alternative strategy is to use Metformin tablets which are commonly used to reduce blood sugar levels in older patients with late onset diabetes. In women with PCOS however, these tablets can restore a more normal menstrual pattern and assist with problems with ovulation.
An important mainstay of treatment for PCOS revolves around healthy living, weight loss where appropriate, exercise and a healthy diet that avoids too much unrefined carbohydrate. Essentially it is better to have brown bread, brown pasta or brown rice rather than the white equivalents and the diet should be balanced to include plenty of fresh fruit and vegetables. An over-reliance on carbohydrates should be avoided. Taking exercise and not smoking are also very important. Sometimes a new diagnosis of polycystic ovary syndrome is a wake up call to have a careful look at your lifestyle. Having said that, many patients with polycystic ovary syndrome are of entirely normal weight and keep very healthy habits!
