What is the best treatment for polycystic ovary syndrome?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on February 03, 2025
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Polycystic ovary syndrome varies greatly among individuals, and clinical manifestations are very different. The specific condition of each person is different, hence the treatment methods also vary. Therefore, there is no single best way to treat it; treatment should be tailored to the individual. For example, if one can maintain a good condition with relatively regular menstrual cycles and it does not affect pregnancy, then no special treatment might be necessary. However, if there is a long absence of menstrual periods, then treatment such as using birth control pills to regulate hormones may be necessary. Some people may also have concurrent conditions such as thyroid dysfunction or insulin resistance, and treatment for these conditions should be based on specific test results.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How to regulate amenorrhea in polycystic ovary syndrome?

When a woman with polycystic ovary syndrome experiences amenorrhea, the first step is to observe her body type. If she is relatively obese, it is advisable to suggest controlling diet and engaging in moderate activity to reduce her weight, that is, to lower her body mass index. After doing so, some women may regain their normal menstrual cycles. For those with a normal body type or those who still have irregular menstrual cycles after losing weight, considering oral contraceptives might be suitable. These can reduce the level of androgens in the body. For women of childbearing age who still have reproductive needs, after regulating the menstrual cycle, if normal ovulation is not resumed, ovulation induction treatments can be considered to help the woman conceive normally.

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Written by He Bing
Obstetrics and Gynecology
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Can polycystic ovary syndrome get pregnant?

Patients with polycystic ovary syndrome (PCOS) suffer from endocrine disorders, which prevent follicles from developing and maturing, leading to anovulation or rare ovulation, and consequently, amenorrhea and infertility. Although it is much more difficult for patients with PCOS to become pregnant compared to the average person, there is still a great hope for natural conception through a series of targeted treatments. For patients with reproductive needs, ovulation induction treatment can be chosen based on improved lifestyle habits. Under the guidance of a doctor, medications can be used to adjust menstrual cycles and stimulate ovulation. Then, by having intercourse around the time of ovulation, the chances of pregnancy can be increased. However, it is important to emphasize that all these should be conducted under the guidance of a professional doctor. The female endocrine system is like a precise instrument, and improper use of medication on one's own can potentially lead to endocrine disorders and result in infertility.

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Written by He Bing
Obstetrics and Gynecology
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What are the symptoms of polycystic ovary syndrome?

Polycystic ovary syndrome often begins in adolescence, with primary clinical manifestations including menstrual disorders, excess androgens, and obesity. First, menstrual disorders are the most prominent symptoms, often characterized by infrequent menstruation, with cycles ranging from 35 days to 6 months, or amenorrhea. Before amenorrhea, there may be scanty menses or infrequent menstruation. It can also present as irregular uterine bleeding with no regular pattern in menstrual cycle, period, or flow. Second, infertility. Women of childbearing age may experience infertility due to ovulatory disorders. Third, hirsutism is the most common manifestation of high androgen levels. It appears in varying degrees, primarily affecting sexual hair, with dense pubic hair showing a male pattern tendency, extending around the anus, groin, or midline of the abdomen. There may also be fine mustache hair on the upper lip or hair around the nipple. Oily skin is also common, related to the accumulation of androgens stimulating vigorous secretion from the sebaceous glands. Fourth, obesity. Over 50% of patients are obese, commonly exhibiting abdominal obesity. Fifth, acanthosis nigricans. Occurs in areas such as the labia, the back of the neck, armpits, under the breasts, and the groin, where skin folds are present. This is characterized by symmetric grey-brown pigmentation, thickened skin, and a soft texture.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Treatment Methods for Polycystic Ovary Syndrome

Polycystic Ovary Syndrome is a metabolic disease and is lifelong and incurable. The most common symptoms are menstrual irregularities during the reproductive years, such as anovulation or rare ovulation, manifesting as menstrual disorders and infertility. At this time, if there is a desire for childbirth, menstrual regulation and ovulation induction can be achieved using progestogens or contraceptives; if there is no desire for childbirth, ensure that menstruation occurs at least once every two months to protect the endometrial lining and prevent endometrial cancer. For overweight individuals, it is crucial to exercise and control diet to lose weight, as maintaining a normal weight range does not greatly affect health.

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Written by He Bing
Obstetrics and Gynecology
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What should be noted about polycystic ovary syndrome?

First, patients with polycystic ovary syndrome should control their diet and exercise appropriately to reduce or control weight and decrease waist circumference. Second, develop good eating habits, maintain nutritional balance, and pay attention to the control of calories and fat. Obese individuals should moderate their diet, eat less greasy and rich foods, and avoid overeating. Consume more vegetables, fruits, and high-quality proteins. Quit smoking and limit alcohol consumption. Third, women who are losing weight should not blindly use weight loss medications and avoid excessive dieting and rapid weight loss over a short period. Fourth, exercise regularly, such as walking, jogging, playing ball sports, swimming, martial arts, the Five Animal Frolics, and various forms of dance. However, avoid intense exercise and pay attention to balancing work and rest. Fifth, maintain emotional stability and a positive mindset. Avoid rage, depression, excessive tension, and long-term anxiety. Sixth, obese women with menstrual irregularities should note: significantly prolonged menstrual cycles, or having a period every few months or not at all, and the development of acne on the face should seek medical advice early. Seventh, reduce stress and maintain a good psychological state. Establish confidence in treatment and be patient with therapy. Young female patients who are untreated have a high probability of developing Type 2 diabetes in middle and old age and can become infertile. Therefore, once this disease appears, behavioral, dietary, and exercise therapies should be combined with medical treatment under the guidance of a professional doctor. Eighth, doctors, family members, and spouses should actively encourage and support the patient to lose weight, offering emotional understanding and help.