A member asked:

How do docs treat pcos?

3 doctors weighed in across 3 answers
Dr. Khurram Rehman answered

Specializes in Fertility Medicine

Different TTC or not: If not trying to conceive birth control pills are often used, sometimes with antiandrogens like spironolactone as well to decrease acne/hair growth more than bc pills alone. If trying to conceive we use Insulin sensitizers like metformin, plus ovulation-inducing tablets - most commonly Clomid (clomiphene) or Letrozole - sometimes low-dose shots or ivf if needed. Surgery for pcos is no longer a good option.

Answered 6/27/2014

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Dr. Dennis Higginbotham answered

Specializes in American Board of Obstetrics and Gynecology

Many ways: Pcos can be treated by a number of modalities including weight loss, ocp's, ovulation induction, and surgery.

Answered 8/17/2013

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Dr. Michael Rothman answered

Specializes in Internal Medicine

Nutritional Rx: Pcos is caused by high estrogen (e2)combined with high Insulin which then transforms e2 into testosterone. Excess carbs can elevate both Insulin (via stimulation of pancreas) and e2 (via competitive inhibition of glucoronidase enzyme) a low carb diet reduces both Insulin & e2 thus positively impacting this metabolic disease. Avoid fried foods, veg oils, soy.

Answered 6/25/2014

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