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Treatment for PCOS is not curative. Treatment focuses on controlling symptoms and managing the condition to prevent complications. The treatment will vary from woman to woman, depending on specific symptoms.
A healthy diet and regular exercise are recommended for all women with PCOS, particularly those who are overweight. This can help to regulate your menstrual cycle and lower your blood glucose levels.
Women who don't want to become pregnant may be prescribed birth control pills. These can help treat acne, regulate the menstrual cycle, and lower levels of male hormones, such as testosterone, in the body. If a woman with PCOS is suffering from infertility, fertility drugs may be administered for helping her to ovulate.
Anti-androgens are drugs that reduce male hormone levels. These can help stop excess hair growth and reduce acne. Diabetes medications may also be prescribed to lower blood glucose and testosterone levels.
Surgery may be recommended for some women with PCOS. Ovarian drilling is a procedure in which the doctor punctures patient's ovary with a small needle that carries an electric current, in order to destroy part of the ovary. This is a short-term solution that can promote ovulation and reduce male hormone levels.
Potential Complications of PCOS?
Women with PCOS have a higher risk of developing:
- hypertension (high blood pressure)
- high cholesterol
- anxiety and depression
- sleep apnea (when a person stops breathing periodically during sleep)
- endometrial cancer (cancer caused by thickening of the lining of the uterus)
- heart attack
- breast cancer
If you become pregnant, your doctor may refer you to a doctor who specializes in high-risk pregnancies. Women with PCOS have a higher rate of miscarriage, gestational diabetes, and premature delivery. They may also require extra monitoring during pregnancy.
The earlier the PCOS is diagnosed and treated, the lower is the risk of developing these complications. Avoidance of tobacco products and participating in regular exercise can also reduce the risk of some of these co-morbidities. The patients must talk to the Gynae about what PCOS means for your overall health and how you can prevent serious complications.