By

― Dr. Gaayatri Bala Chhabra Juneja- Gynaecologist & Obstetrician

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Polycystic ovary syndrome (PCOS) is a complex condition that requires tailored treatment based on individual symptoms and needs. Here's a summary of how PCOS is managed and treated:

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Non-Pregnancy Related Treatments

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• Lifestyle Changes: A healthy diet, regular exercise, and maintaining a healthy weight can positively impact insulin levels.
• Hormonal Birth Control: Regulates menstrual cycles, improves acne, and reduces excess hair growth.
• Insulin-Sensitizing Medication (e.g., Metformin): Helps manage insulin levels, which can improve menstrual cycles.
• Medications to Block Androgens: Controls acne or hair growth.

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Pregnancy-Related Treatments

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• Drugs to Induce Ovulation (e.g., Clomiphene, Letrozole): Stimulate ovulation, increasing chances of conception.
• Surgery: Rarely performed, removes tissue in ovaries that produce androgen hormones to restore ovulation.
• In Vitro Fertilization (IVF): Assisted reproductive technology where eggs are fertilized outside the body and implanted into the uterus.

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Management and Long-Term Outlook

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• PCOS doesn't have a cure, but symptoms can be managed effectively.
• Symptoms may change over time, and some women become less aware of the condition.
• Regular consultation with a healthcare provider is essential to adjust treatment as needed.

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PCOS and Menopause

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• Hormonal changes during menopause often alleviate PCOS symptoms.
• Even in menopause, if symptoms persist and affect quality of life, medical consultation is recommended.

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Pregnancy with PCOS

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• Pregnancy is possible with PCOS, though it might be challenging.
• PCOS increases the risk of certain pregnancy complications.
• Healthcare providers can create personalized treatment plans to improve ovulation and enhance chances of a healthy pregnancy.

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Prevention

• There's no proven method to prevent PCOS, but lifestyle modifications such as healthy eating, regular exercise, and maintaining a healthy weight can help manage symptoms.

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Overall, PCOS management involves a combination of medical interventions, lifestyle adjustments, and ongoing monitoring by healthcare providers to optimize outcomes and improve quality of life.

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