Since the ovulatory function of the ovaries in patients with PCOS is defective, restoring ovulation is one of the main goals in patients interested in pregnancy. A combination of multiple actions is often required, including lifestyle modifications, diet, exercise, and sometimes medications. The medications helping to restore ovulation will include insulin regulation medications (metformin) and ovulation induction agents (oral or injectable). These medications will be prescribed and managed by one of Procreate’s PCOS Clinic providers.
Obesity among women with PCOS may be as high as 80%. Women with PCOS have difficulty processing insulin. It is important to eat a diet that does not cause large variations in blood sugar.
Many PCOS sufferers will experience excessive or unwanted hair growth. Prescription medications may help reduce hair growth. Waxing, shaving, and tweezing may be enough to reduce unwanted hair for many women. Other treatments may be necessary such as laser hair removal or electrolysis. Laser hair removal is a very common procedure that can permanently eliminate unwanted hair after 3-7 treatments. Electrolysis permanently removes unwanted hair with heat or chemicals. These treatments must be done by a professional.
PCOS affects about 10-15% of reproductive aged women and is responsible for about 30% of all cases of infertility. Multiple patient focused and patient tailored treatment modalities are available at Procreate including ultrasound monitored stimulation cycles and in-vitro fertilization.
Exercise can help improve weight loss and reduce your risk for diabetes and cardiovascular complications. Exercise can also help regulate your blood sugar levels. Aim for at least 30 minutes per day of moderate physical activity, such as yoga or aerobic exercise. Physical activity makes your muscles more sensitive to insulin, improving your metabolism. Weight loss levels of atleast 5% can reduce androgen level, restoring ovulation and improving fertility.
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