Conventional Treatment for PCOS
If you are diagnosed with Polycystic Ovary Syndrome (PCOS), treatment will depend upon your goals. Some patients are primarily concerned with fertility, while others are more concerned about menstrual cycle regulation, excess hair growth (hirsutism), and/or acne. Regardless of your primary goal, Polycystic Ovary Syndrome (PCOS) should be treated because of the long-term health risks it poses.
Treating Excess Hair, Hirsutism
- Hair removal treatments include electrolysis, laser treatment, hair removal creams, waxing and shaving. These treatments are only temporary and therefore need repeating at regular intervals. Laser treatment and electrolysis are not available on the NHS, and are quite expensive, however the results may last longer than with other methods.
- A cream can be prescribed which is rubbed onto affected areas. This cream is known as eflornithine, and there is some evidence to suggest it works on the area to stop unwanted hair growth. However, if treatment is stopped, the hair will grow back.
- Certain tablets can also help affect hair growth. These drugs work against testosterone, either by decreasing how much the body produces, or lessening the effect of testosterone in the body. The most common drugs used are:
- The treatment for acne is the same irrespective of the cause. Treatments for acne include antibiotic creams and facial washes, or antibiotic tablets. More severe acne may be treated by a skin specialist.
- One of the common treatments for acne is the combined contraceptive pill. Because this treatment can also help relieve some of the other symptoms of polycystic ovary syndrome, it is quite a common treatment option for people with the condition.
Treating Irregular or Absent Periods
There is a possible increased risk of cancer of the womb if you have no periods for an extended period of time. Therefore, some women take the contraceptive pill because it causes regular bleeds. An alternative option is to take another hormone, known as progesterone, each month.
Treating Fertility Problems
Polycystic ovary syndrome can cause a person to have difficulties conceiving. There are a range of treatment options to help with infertility. Treatments include:
- This is a drug which has a mild stimulating effect on the ovaries. It is taken as a tablet for five days each month.
- This hormone stimulates the follicles in the ovary to fully develop. It is given as a daily injection.
Treating Insulin Resistance
A drug called metformin is commonly used as a treatment for people who suffer from type 2 diabetes. This drug acts by increasing how sensitive the body is to insulin. The body then requires less insulin, and so this drug can lead to a decrease in the levels of insulin in the body. As detailed earlier, it is thought that high levels of insulin in the body may well contribute to the symptoms and problems associated with polycystic ovary syndrome. In some cases of the condition, metformin is prescribed to help treat the underlying problem causing polycystic ovary syndrome. There are other newer drugs on the market that have the same effect on the body as metformin, and may also be prescribed for people with polycystic ovary syndrome. These drugs are known as insulin-sensitising drugs; however the evidence for their role in treating polycystic ovary syndrome still needs a lot more research.
PCOS and surgical treatment
A surgical procedure, known as wedge resection of the ovaries, where a portion of the ovary is removed to decrease the amount of androgens produced by a Polycystic Ovarian Disease (PCOD) ovary.
Side Effects of PCOD conventional Treatment
Hormone Pills and Insulin Sensitizing Agents are the Most Popular FDA Approved Treatments of PCOS. However, they do nothing to address the root cause of your problem and only offer symptomatic relief.
Some of the more common side effects associated with hormonal contraceptive medication include:
- mood changes
- weight gain or loss
- breast tenderness
- irregular bleeding
The oral contraceptive pill should not be used if you have high blood pressure, are a smoker, or have had a deep vein thrombosis (DVT) in the past.
There is some recent evidence to suggest hormonal contraception may increase insulin resistance, abnormal glucose tolerance (a sign of early diabetes) and cholesterol levels (triglycerides)
Cream or ointments prescribed for acne and facial hair growth which is rubbed onto affected areas, and there is some evidence that if treatment is stopped, the hair and acne will grow back.
You every complaint is treated in isolation weather the acne, hair fall, irregular periods etc. and as you stop the treatment symptoms will return back.