Weight gain and obesity are common in women with PCOS. Losing weight, even a small amount of weight, can help treat the hormone changes and health conditions such as diabetes, high blood pressure, or high cholesterol.
Your doctor may recommend birth control pills to make your periods more regular. These medicines may also help reduce abnormal hair growth and acne after you take them for several months.
A diabetes medicine called Glucophage (metformin) may also be recommended to:
- Make your periods regular
- Prevent type 2 diabetes
- Help you lose weight
Other medicines that may be prescribed to help make your periods regular and help you get pregnant are:
- LH-releasing hormone (LHRH) analogs
- Clomiphene citrate, which helps your ovaries grow and release eggs
These medicines work better if your body mass index (BMI) is 30 or less (below the obese range).
Your doctor or nurse may also suggest other treatments for abnormal hair growth. Some are:
- Spironolactone or flutamide pills
- Eflornithine cream
Permanent hair removal options include electrolysis and laser hair removal. However, many treatments may be needed, and treatments are expensive.
A pelvic laparoscopy may be done to remove or alter an ovary to treat infertility. The effects are temporary.