PCOS Therapy: What Works and How to Start

If you’ve been told you have polycystic ovary syndrome (PCOS), you probably wonder what you can actually do about it. The good news is there are plenty of proven therapies that can calm symptoms, improve fertility, and lower long‑term health risks. Below you’ll find the most common medical options and the lifestyle changes that make a real difference.

Top Medical Options

First up, talk to your doctor about prescription meds. Most women start with hormonal birth control pills because they regulate periods and lower androgen levels that cause acne and excess hair. If you’re trying to get pregnant, your doctor may suggest clomiphene or letrozole to stimulate ovulation.

Metformin, a diabetes drug, is another favorite. It improves insulin sensitivity, which often helps with weight control and can even restore regular cycles. Side effects are usually mild – a few stomach upsets that usually go away after a few weeks.

For severe acne or hair loss, anti‑androgen medications like spironolactone can be added. They block the effect of male hormones on the skin and hair follicles. You’ll need regular blood tests to monitor potassium levels, but most patients tolerate it well.

Keep in mind that every medication has pros and cons. Write down your main symptoms, any other health issues, and your goals (whether it’s weight loss, fertility, or clearer skin). This list will help your doctor match you with the right combo.

Lifestyle Changes That Help

Medications work best when paired with solid lifestyle moves. A balanced diet low in refined carbs can cut insulin spikes. Think whole grains, plenty of veg, lean protein, and healthy fats. Even a modest switch, like swapping soda for water, can lower blood sugar over time.

Exercise isn’t just about burning calories; it boosts insulin sensitivity too. Aim for at least 150 minutes of moderate activity each week – brisk walking, cycling, or a fun dance class. Mix in some strength training twice a week to keep muscle mass up, which also helps the body use insulin better.

Weight loss of even 5‑10% can dramatically improve period regularity and reduce androgen levels. Set realistic goals: a half‑kg a week is doable for most people and feels less overwhelming than big numbers.

Stress management matters, too. Chronic stress raises cortisol, which can worsen insulin resistance. Simple habits like a 10‑minute daily breathing exercise, journaling, or a short walk outside can keep stress in check.

Lastly, track your symptoms. Use a period app or a simple notebook to record cycle dates, mood changes, acne flare‑ups, and weight. Trends become clear quickly, and you can show the data to your doctor for better treatment tweaks.

Putting these pieces together – the right meds, a steady diet, regular movement, and stress control – gives you the best shot at managing PCOS. It won’t happen overnight, but with consistent effort you’ll notice smoother cycles, clearer skin, and better overall health.