How to treat or cure PCOS

PCOS is a long-term condition. It cannot be permanently cured, but symptoms can be controlled and many women do very well. Treatment is based on your goals.

First line for most women: lifestyle

• Regular exercise and a balanced diet
• Weight loss of 5 to 10 percent when there is overweight, which often brings back regular periods and ovulation
• Good sleep and stress care

For regular periods and womb protection

Combined contraceptive pills or progestin courses, as advised by your doctor.

For hair and skin

Anti-androgen medicines with contraception, topical acne treatment, laser or other hair removal methods. Results take 6 months or more.

For insulin resistance

Metformin in selected women, and other options for weight management.

For fertility

• Letrozole as the usual first medicine
• Clomiphene or injections if needed
• IVF in some cases
• Pre-pregnancy health check, folic acid and blood sugar control