TREATMENT

Treatment for PCOS

A multi-pronged approach is often used to manage polycystic ovary syndrome (PCOS)

Medical intervention

MEDICAL INTERVENTION

Clomiphene citrate (CC):

Remains the first-line of therapy for ovulation induction.

Metformin:

Aids with insulin resistance ,infertility and hirsutism.

Spirolactone:

Aids with treatment of acne and hirsutism.

Hormonal contraceptives (pill, patch, vaginal ring):

Prescribed for Menstrual irregularities, acne, hirsutism (Williams, Rami, & Porter, 2016) .

DIETARY INTERVENTIONS

A low GI, high protein and high fibre diet helps with insulin sensitivity. A diet supplemented with omega-3 fatty acids, vitamin B12, vitamin D, pre-biotics and pro-biotics have been observed to be effective for managing PCOS(Calcaterra, Valeria;, 2021).

Dietary intervention:

Supplements

SUPPLEMENTS

Aloe vera and chamomile improve fertility by increasing the number of ovarian follicles (Yagi, 2015) .

Vitex agnus-castus and octane reduce hirsutism by reducing testosterone and androgen levels.

Liquorice, ginseng, cinnamon, and de chiro Inositol improve the adverse effects of diabetes caused by PCOS by lowering lipid and blood glucose levels (Manouchehri, 2023)

Stachys lavandulifolia and fennel are effective in changing endometrial tissue parameters in PCOS by reducing estrogen and hyperplasia (Pahlevani P, 2016) .

PHYSICAL EXERCISE

The following exercises help with insulin resistance, hyperandrogenism and improve fertility (Shele, 2020).

Cardio:

Walking, jogging, cycling. Reported to reduce androgen levels.

Yoga:

Pranayama, restorative asanas, vinayasa flows, mindfulness and meditation.

HIT:

Intervals of high intensity exercises followed by short intervals of rest or low intensity workout cycles.

Strength training:

Vigorous to moderate level of strength training that involves using resistance bands, weights, or body weight to build muscle.