4 doctors weighed in:
Does anyone have polycystic ovarian syndrome? What is treatment?
4 doctors weighed in

Dr. Scott Roseff
Fertility Medicine
2 doctors agree
In brief: About 1 in 10!
About 10% of women of reproductive age have pcos! it is the most common hormone imbalance in women and a major cause of fertility problems.
The treatment depends on the goal - is the goal to treat unwanted hair growth, acne, obesity, irregular menses, or fertility? In general, if someone is not ttc, she is treated one way, while she is treated differently if she is ttc. See a board certified re!

In brief: About 1 in 10!
About 10% of women of reproductive age have pcos! it is the most common hormone imbalance in women and a major cause of fertility problems.
The treatment depends on the goal - is the goal to treat unwanted hair growth, acne, obesity, irregular menses, or fertility? In general, if someone is not ttc, she is treated one way, while she is treated differently if she is ttc. See a board certified re!
Dr. Scott Roseff
Dr. Scott Roseff
Thank
Dr. Thomas Namey
Internal Medicine - Rheumatology
1 doctor agrees
In brief: Decrease insulin res
Pcos is a manifestation of Insulin resistance, which indicates pre-diabetes or diabetes 2.
There are many derangments including those of adrenal androgen, a higher free testosterone, eradication of/or irregular cycles.Hirsuitism and acne increase with these androgens. A woman's cycle becomes annovulatory. Glucophage (metformin) is the preferred treatment of the problem. Clomiphene is used to help ovulation.

In brief: Decrease insulin res
Pcos is a manifestation of Insulin resistance, which indicates pre-diabetes or diabetes 2.
There are many derangments including those of adrenal androgen, a higher free testosterone, eradication of/or irregular cycles.Hirsuitism and acne increase with these androgens. A woman's cycle becomes annovulatory. Glucophage (metformin) is the preferred treatment of the problem. Clomiphene is used to help ovulation.
Dr. Thomas Namey
Dr. Thomas Namey
Thank
1 comment
Dr. Edward Ramirez
There has been a lot of press coverage regarding "insulin resistance" as being the main cause of polycystic ovarian syndrome. This has led to many, many women being misdiagnosed and mismanaged. As a result, there has been a tendency to automatically prescribe Metformin (Glocophage). In reality, only 30-40% of these women have insulin resistance, and only those patients will have some response. Some will resume normal ovulatory function, and others will become more respondent to fertility medications. It will take 6-8 months to see if the medication works.The patient must be evaluated for insulin resistance. For non-insulin resistant patients the treatment varies,depending on whether a patient is trying for pregnancy or not. For those who are not trying to get pregnant, the dominant male hormones have to be suppressed, female hormone needs to be increased and the patient needs to have regular cycles. This is done through the use of birth control pills because it does all of the above.
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