Patients typically seek medical care for the menstrual cycle irregularities, infertility, problems of self-esteem and appearance arising from obesity, and excess hair growth. Therefore, proper diagnosis along with effective treatment options is essential to prevent further complications. 3 Treatment Various treatment options are available. The treatment will be chosen based on the woman's symptoms and fertility status. Weight Loss -Improved diet and exercise may decrease insulin levels, which may cause menses to return.
Progestins -These medications mimic the action of progesterone.
Unfortunately, they are of little benefit in reducing hair growth or metabolic abnormalities. Oral contraceptives decrease LH and regulate menses. The value for use in PCOS is to improve skin conditions and to decrease other symptoms such as male-pattern baldness and hirsutism. They are similar in structure to the natural hormone. Loss of bone mass can be reversed after the women stops taking the medication.