First things first: currently, there is no cure for PCOS. Yet, there is a “but”. There are numerous ways to manage PCOS symptoms effectively and improve your well-being. The key lies in understanding the individual nature and root causes of PCOS and tailoring treatments to address specific concerns. Let's explore some of the treatment options available for PCOS patients and how they can support your journey towards better health.

Medication

Your doctor may prescribe medication to manage each of the symptoms such as irregular periods, acne, excess hair growth, and elevated blood sugar levels. Hormonal birth control can mimic periods, improve acne, and protect the uterine lining. Metformin, though not FDA-approved for PCOS, can improve insulin sensitivity and menstrual patterns. Other medications like clomiphene and letrozole may aid in inducing ovulation and enhancing fertility.

Medication that lowers androgen levels, such as cyproterone acetate or spironolactone, can help alleviate androgen-related symptoms like excess hair growth. These medications may require a trial period to observe their effects and are often used in combination with birth control pills for safety and enhanced benefits.

Lifestyle Changes

Implementing healthy lifestyle modifications is essential in the treatment of PCOS. For some patients, daily movement and weight loss of just 5% can significantly improve ovulation and symptoms. Some will benefit just by regulating blood sugar with an appropriate diet. Even small changes can make a big difference in insulin sensitivity and overall well-being.

Whole Foods Diet: Opting for a nutrient-rich, diverse diet can help regulate blood sugar levels, manage weight, and improve overall health. Focus on starting each meal with fibre and lean proteins, followed by carbs to avoid blood glucose spikes. Consult with a registered dietitian or nutritionist for personalised dietary recommendations.

Regular Checkups: Regular checkups are vital to monitor your overall health, hormone levels, and any potential complications associated with PCOS. These checkups enable your healthcare provider to make informed decisions regarding treatment and ensure that you receive appropriate care.

Movement: Engaging in regular physical activity not only promotes weight management but also boosts mood, reduces stress, and improves overall cardiovascular health. Aim for at least 150 minutes of moderate-intensity aerobic exercise or 75 minutes of vigorous exercise per week. Find activities you enjoy, such as walking, cycling, dancing, or yoga, and make them a part of your routine.

Prioritizing Mental Health: PCOS can have a significant impact on mental well-being. Stress management techniques, mindfulness practices, and seeking support from therapists or support groups can help alleviate stress and promote emotional well-being. Taking care of your mental health is as important as addressing the physical aspects of PCOS. 

Prescription Creams and Cosmetic Treatments

Targeted treatments, such as prescription creams like eflornithine hydrochloride, can address specific skin and hair concerns. Additionally, cosmetic treatments like laser therapy and electrolysis may assist in managing hair-related issues effectively.

Supplements

Complementary treatments and supplements, such as cinnamon, Myo-inositol, vitamin D, B complex vitamins, and acupuncture, are popular among women with PCOS. Temporal Matters (BALANCE)¹ contains Myo-inositol and D-chiro inositol in a physiological ratio — 40:1, Reishi (Ganoderma lucidum) and Alpha Lipoic Acid. This formulation helps to normalise ovarian function and balance the menstrual cycle; while also aiding in reducing levels of enzyme 5-alpha-reductase and thus – androgens; reducing inflammation and oxidative stress in the body; as well as promoting healthy glucose metabolism.

While research is ongoing to determine their effectiveness, it's important to discuss these options with your doctor and consider the evidence behind them.

Remember, PCOS treatment plans are highly individualized and depend on factors such as your future plans for pregnancy, regularity of periods, and personal preferences. It is crucial to have an open and thorough discussion with your healthcare provider to explore the different treatment options available and find the best approach for you. Stay informed, ask questions, and actively participate in your healthcare decisions. Together, we can navigate the complexities of PCOS and work towards optimizing your health and well-being.

References:

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3. Dumesic DA, Oberfield SE, Stener-Victorin E, et al. Scientific statement on the diagnostic criteria, epidemiology, pathophysiology, and molecular genetics of polycystic ovary syndrome. Endocr Rev. 2015;36(5):487-525.
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7. Mayo Clinic. Polycystic ovary syndrome (PCOS). Mayo Clinic. Updated March 2021. Accessed July 10, 2023. https://www.mayoclinic.org/diseases-conditions/pcos/symptoms-causes/syc-20353439
8. National Institute of Diabetes and Digestive and Kidney Diseases. Polycystic ovary syndrome (PCOS). NIDDK. Updated August 2018. Accessed July 10, 2023. https://www.niddk.nih.gov/health-information/endocrine-diseases/polycystic-ovary-syndrome
9. Pasquali R, Gambineri A. Polycystic ovary syndrome: a multifaceted disease from adolescence to adult age. Ann N Y Acad Sci. 2011;1243:E54-E63.
10. Teede HJ, Misso ML, Costello MF, et al. Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Hum Reprod. 2018;33(9):1602-1618.