What are the treatment options for polycystic ovary syndrome?

PCOS can affect ovulation, periods, skin and hair, and the way the body handles insulin. There is no single treatment that addresses every feature. The right choice depends on whether you want contraception, more predictable bleeding, help with acne or excess hair, support for metabolic health, or pregnancy. A clinician may also review blood pressure, glucose, cholesterol and emotional wellbeing.

The Combined Pill can regulate bleeding and may improve androgen-related symptoms when it is medically suitable. A Hormonal Coil can protect the womb lining and provide contraception, although it may not treat every PCOS symptom. Metformin for PCOS may be considered for insulin-related concerns or selected fertility goals. If pregnancy is wanted, Ovulation Induction is often discussed first; IVF may be considered when other approaches have not worked or when additional fertility factors are present. Ovarian Drilling is a surgical option for selected cases and requires a specialist discussion. Regular movement, balanced meals, sleep and support with weight changes can complement medical care without being a judgement about your body.

Arrange medical review for very infrequent periods, bleeding that is heavy or prolonged, new severe pelvic pain, unexpected milk discharge, or rapid changes in facial hair or voice. Seek urgent help for severe pain with faintness, heavy bleeding with weakness, or possible pregnancy with one-sided pain or bleeding.

Ask which PCOS features need treatment now, how each option fits your pregnancy plans, whether your womb lining needs protection, what monitoring is required, and when a fertility referral would be appropriate.