Original Publish Date: December 2016
Living with PCOS? You’re not alone. Polycystic ovary syndrome (PCOS) affects 5–10% of women of reproductive age – making it one of the most common hormonal disorders today.
From irregular periods to infertility, unwanted hair growth, acne, and even increased risks of diabetes or heart disease, the symptoms of PCOS can be wide-ranging and disruptive.
The good news? You have options. Many women can manage PCOS symptoms – and even reverse some of its effects – with simple but powerful changes to their daily routines. And for those with more complex needs or fertility goals, medical treatments can be highly effective.
At Women & Infants Fertility Center, we guide patients through both lifestyle and medical treatment plans that are tailored to their bodies, their goals, and their lives.
What Is PCOS?
PCOS is a hormonal disorder in which the ovaries produce higher-than-normal levels of androgens (male hormones like testosterone). This imbalance disrupts the menstrual cycle and ovulation, and may cause:
- Irregular or absent periods
- Infertility
- Weight gain
- Acne
- Excessive hair growth (hirsutism) on the face, chest, or arms
- Ovarian cysts
- Insulin resistance or type 2 diabetes
It’s especially common among women of certain ethnic backgrounds and may be linked with metabolic syndrome, a group of conditions that increase the risk of heart disease, stroke, and diabetes.
Diagnosing PCOS
There’s no single test for PCOS, so diagnosis typically involves a combination of:
- Physical exam – looking for signs like excess hair growth or acne
- Blood tests – checking hormone levels (especially testosterone)
- Glucose tolerance test – assessing how your body handles sugar, since PCOS often includes insulin resistance
- Ultrasound – identifying ovarian cysts or other abnormalities
Treating PCOS
1. Lifestyle Modifications
For many women, weight loss of just 5–10% can dramatically reduce PCOS symptoms and improve fertility. The best long-term strategy combines:
- Healthy eating – focusing on whole, unprocessed foods and balanced macronutrients
- Regular exercise – helping maintain weight loss and improve insulin sensitivity
While effective, lifestyle changes take time and commitment. But the payoff – especially when it includes improved health and even pregnancy, is well worth it.
2. Medical Treatments for PCOS
For Women Not Trying to Conceive:
If pregnancy isn’t the goal, treatment usually focuses on regulating menstrual cycles and reducing long-term risks:
- Birth control pills – Regulate periods and reduce excess hair growth
- Anti-androgens – Help lower male hormone levels
- Progesterone IUD – Protects against endometrial hyperplasia, an overgrowth of the uterine lining linked to irregular periods
3. For Women Trying to Get Pregnant
The primary goal here is to induce ovulation:
- Oral or injectable medications – Help stimulate egg release
- Ovulation tracking – Ensures timing is optimal for conception
- Specialist support – From a reproductive endocrinologist can optimize results
Be aware: Women with PCOS who become pregnant face slightly higher risks for preeclampsia and gestational diabetes, so close monitoring is essential.
Take the First Step
PCOS may be common, but it’s also highly treatable. With the right combination of lifestyle changes and personalized medical care, many women find lasting relief from symptoms and improved reproductive health.
If you suspect you have PCOS, or if you’re struggling with any related symptoms, contact a reproductive endocrinologist to start your evaluation and explore your treatment options.
Disclaimer: The content in this blog is for informational and educational purposes only and should not serve as medical advice, consultation, or diagnosis. If you have a medical concern, please consult your healthcare provider or seek immediate medical treatment.
