Causes - PCOS - Treatment

Treatment for PCOS includes a comprehensive program to help you manage different PCOS symptoms and increase your chances of getting pregnant.

PCOS treatment options
Depending on your symptoms, PCOS treatment may include one or more of the following options:

  • Weight loss
  • Progestins
  • Corticosteroids
  • Clomid (clomiphene citrate)

  • Gonadotropins
  • Metformin (Glucophage)

Clomid for PCOS
Some women with PCOS may require a very high dose of the fertility drug Clomid to restore fertility, which can sometimes cause uncomfortable side effects. Your doctor may Clomid with or without metformin.

Metformin for PCOS
Metformin (Glucophage), a treatment for type 2 diabetes, affects the action of insulin in the body and can be helpful at reducing PCOS symptoms. The combination of Clomid with metformin often helps women with PCOS get pregnant more quickly than by just using metformin or Clomid alone.

With metformin, PCOS weight loss may become easier. This medication may also improve lipid profiles, lower blood pressure, lower androgen levels and improve menstrual and ovulation cycles.

PCOS & ovarian drilling
Ovarian drilling is another treatment for women with PCOS. Here is how ovarian drilling works:

  • This laparoscopic surgery involves puncturing the ovary with a small needle that carries an electric current. 
  • The procedure destroys a small portion of the ovary.
  • Although ovarian drilling can help lower male hormone levels and induce ovulation, the effects of the procedure may only last for a few months.
  • The procedure also carries the risk of developing scar tissue between the fallopian tubes and ovary as well as other problems that can hinder your ability to get pregnant.

In vitro fertilization (IVF) is another great option for getting pregnant with PCOS. Many women with PCOS have had great success with IVF, bringing home healthy babies.

Your doctor can recommend the safest and most effective PCOS treatments for you. Depending on your situation and when you want to get pregnant, your doctor will formulate a plan to help you manage PCOS and optimize your fertility. There are many PCOS treatments today - from diets and medications to help you manage your weight, to hormones to regulate ovulation and your menstrual cycle, to fertility drugs that can help you get pregnant. See a fertility specialist to learn more.