In each case, a doctor should walk you through your options and make you aware of the risks and/or side effects associated with each treatment.
Changes to your lifestyle
Achieving and maintaining a healthy lifestyle through diet and exercise can significantly improve PCOS symptoms and long-term risks. If you are overweight, losing weight can help make your menstrual cycle more regular and improve your fertility. It can also reduce the risk of complications during pregnancy.
The contraceptive pill can be prescribed to induce periods or help your cycle become more regular.
A doctor might prescribe clomiphene or metformin, which can stimulate ovulation.
If you’re trying to conceive and medication doesn’t work, IVF is another option. This is where your egg is fertilised with sperm in a laboratory and then placed in your uterus to implant and develop.
There are medication options that can help with acne, excessive hair growth and hair loss. These work by blocking the effects of hormones such as testosterone. A cream called eflornithine can be used to slow down the growth of facial hair, which can also be treated with laser removal.
Ovarian drilling can help with fertility problems related to PCOS. In PCOS, the surface of the ovary is thickened, which is believed to prevent spontaneous ovulation. In this procedure, under general anaesthetic, a surgeon will make a small incision near your navel. They’ll then insert a microscope along with fine instruments to remove the tissue from your ovaries responsible for producing androgens. This corrects your hormone imbalance and, as a result, can help restore ovulation.