Treatment options can vary because someone with PCOS may experience a range of symptoms, or just one.
In overweight women, the symptoms and overall risk of developing long-term health problems from PCOS can be greatly improved by losing excess weight. You can find out whether you're a healthy weight by calculating your body mass index (BMI), which is a measurement of your weight in relation to your height. The contraceptive pill may be recommended to induce regular periods, or periods may be induced using an intermittent course of progestogen tablets (which are usually given every three to four months, but can be given monthly). This will also reduce the long-term risk of developing cancer of the womb lining (endometrial cancer) associated with not having regular periods. The majority of women can be successfully treated with a short course of tablets taken at the beginning of each cycle for several cycles. A medication called clomifene is usually the first treatment recommended for women with PCOS who are trying to get pregnant. If clomifene is unsuccessful in encouraging ovulation, another medication called metformin may be recommended. Metformin is often used to treat type 2 diabetes, but it can also lower insulin and blood sugar levels in women with PCOS. As well as stimulating ovulation, encouraging regular monthly periods and lowering the risk of miscarriage, metformin can also have other, long-term health benefits, such as lowering high cholesterol levels and reducing the risk of heart disease. Metformin isn't licensed for treating PCOS in the UK, but because many women with PCOS have insulin resistance, it can be used "off-label" to encourage fertility and control the symptoms of PCOS. As metformin can stimulate fertility, if you're considering using it for PCOS and aren't trying to get pregnant, make sure you use suitable contraception if you're sexually active. The National Institute for Health and Care and Excellence (NICE) has more information about the use of metformin for treating PCOS in women who aren't trying to get pregnant, including a summary of the possible benefits and harms. In other words, although letrozole is licensed for treating breast cancer, it doesn't have a license for treating PCOS. If you're unable to get pregnant despite taking oral medications, a different type of medication called gonadotrophins may be recommended.
An alternative to gonadotrophins is a surgical procedure called laparoscopic ovarian drilling (see below). It's likely that a fertility specialist will check that your fallopian tubes aren't blocked before most of these treatments are used. These medications work by blocking the effects of "male hormones", such as testosterone, and some also suppress production of these hormones by the ovaries. A cream called eflornithine can also be used to slow down the growth of unwanted facial hair. However, eflornithine cream isn't always available on the NHS, because some local NHS authorities have decided it's not effective enough to justify NHS prescription. If you have unwanted hair growth, you'll probably also want to use a method of physically removing the excess hair (such as plucking, shaving, threading, creams or laser removal). Laser removal of facial hair may be available on the NHS in some parts of the UK.
A minor surgical procedure called laparoscopic ovarian drilling (LOD) may be a treatment option for fertility problems associated with PCOS. Under general anaesthetic, your doctor will make a small cut in your lower abdomen (tummy) and pass a long, thin microscope called a laparoscope through into your abdomen. LOD has been found to lower levels of testosterone and luteinising hormone (LH) and raise levels of follicle-stimulating hormone (FSH). If you have PCOS, you have a higher risk of pregnancy complications, such as high blood pressure (hypertension), pre-eclampsia, gestational diabetes and miscarriage.


If you're overweight or obese, you can lower your risk by losing weight before trying for a baby. People talk about how they have successfully lost weight and an NHS dietitian offers useful tips.
With an account you can keep track of pages on the site and save them to this tab, which you can access on every page when you are logged in. Paula Radcliffe – athlete, marathon runner and mother of one – has had asthma all her life. Paula's positive attitude to her asthma makes her the perfect role model for others with the condition. Could you ever have imagined an age in which young mothers dying of breast cancer would literally have to fight to the death to be given the drug Herceptin, while obese women have access to stomach-stapling operations, anti-obesity pills, gastric bypasses and any other weight-loss 'cure' that takes their fancy, all on the NHS?
Amanda Platell says the obese have only themselves to blame And those figures do not include the knee replacements most obese people need earlier and earlier in their lifetimes, nor the hip replacements, nor back problems and mobility issues that are a direct result of their excessive weight. Self-delusion is an obese person's greatest problem, says Amanda Let me freely confess that there have been times in my life when I have battled with myA  weight. I have a friend who runs a weight-loss clinic at a London GP's surgery, and she tells me that at times, it's the most soul-destroying job. Teenage obesity can knock life expectancy as much as ten cigarettes a day can Encouraged by a political consensus which holds that fat people must have free entitlement to the full gamut of medical support, it's no wonder the obesity crisis has continued to balloon.
MPs broke cover for the first time to insist that Mr Clegg must go - with Vince Cable being tipped as his most likely successor. Posing in an evening dress at the Houses of Parliament or stripping down to her swimsuit on national TV, Nadine Dorries has always made the most of her glamorous looks.But these days the 56-year-old MP isA  far from confident when she gazes in the mirror. Then she noticed a distinct bald patch at the back of her head when she saw herself on camera in a TV interview.
The views expressed in the contents above are those of our users and do not necessarily reflect the views of MailOnline. Your diet should include plenty of fruit and vegetables, (at least five portions a day), whole foods (such as wholemeal bread, wholegrain cereals and brown rice), lean meats, fish and chicken. Other hormonal methods of contraception, such as an intrauterine (IUS) system, will also reduce this risk by keeping the womb lining thin, but they may not cause periods. Possible side effects of metformin include nausea, vomiting, stomach pain, diarrhoea and loss of appetite. Doctors sometimes use an unlicensed medication if they think it's likely to be effective and the benefits of treatment outweigh any associated risks.
These are given by injection and there's a higher risk that they may overstimulate your ovaries and lead to multiple pregnancies. This treatment can be as effective as using gonadotrophins, but it doesn't increase your risk of multiple pregnancies.
This cream doesn't remove hair or cure unwanted facial hair, so you may wish to use it alongside a hair-removal product.
The ovaries will then be surgically treated using heat or a laser to destroy the tissue that's producing androgens (male hormones). I take my peak flow readings regularly to make sure I'm always getting the right level of treatment. Yes, the same NHS that denied about half a million Alzheimer's sufferers the A?2.50-a-day drug Aricept to delay the onset of dementia, yet spends millions to treat the symptoms of those whose only "illness" is overeating.


It usually occurs a few months after a shock to the system, such as extreme stress, fever, childbirth, sudden weight loss, an operation or as a reaction to medication. Use the BMI healthy weight calculator to work out whether your BMI is in the healthy range. There's an increased risk of multiple pregnancy (rarely more than twins) with these treatments.
When training, I take my preventer inhaler first thing in the morning, and I always take my reliever inhaler before I start exercising. As figures published yesterday revealed, the number of patients being treated for being grossly overweight has gone up sevenfold in the past decade; in the past year alone, the number has increased by 30 per cent. The only thing I have learnt is that fad diets don't work - the weight soon comes on again, and more on top.Only sensible eating and regular exercise can help you shift excess pounds in the long term - and choosing not to do either of these, opting instead to become a couch potato and eat junk food, is a choice not an illness. The hair loss is usually temporary.Female-pattern baldness (androgenetic alopecia) Hair gradually thins, often from the top of the head.
This means that the medication's manufacturer hasn't applied for a licence for it to be used to treat PCOS.
And yes, I did use the word fat - now as politically incorrect and socially outlawed as 'golliwog'. Never use the F-A-T word around kids, parents whisper, as their roly-poly little darlings ram another Krispy Kreme in their mouths. It usually gets more noticeable after the menopause and tends to run in families.Alopecia areataAffects mostly teenagers and young adults. Never use the D-I-E-T word in front of obese children, we're told, because it will give them a lifetime of shame and stigma. The hair follicles are not permanently damaged, and in many cases hair grows back in a few months.Alopecia totalis Complete loss of hair on the head. Well, I'm sorry, but apart from a few very rare cases, who deserve our every sympathy, most people are fat because of one simple truth.
It's caused by a different recipe altogether: a lack of self-discipline, a slovenliness about food preparation, an urge for instant gratification. But the trouble is, most of them have built up their weight over many years, yet want to lose it in a matter of weeks.
Consider, instead, a simple truth: it is no coincidence that the poorest nations on Earth do not suffer from an obesity crisis - only the rich ones. To dress obesity up as a sickness is itself sickening - an insult to every person battling a genuine disease. So when they find that it takes time and effort to slim down, they claim the method doesn't work and demand to be put on some form of medication instead.' Ah yes, the eternal promise of a miracle cure. But until we can face the most elementary truths about what lies behind this trend, we haven't a hope of tackling the problem. The great joy of the health service is that it is free at the point of use, regardless of the medical condition that necessitates it. The vast majority of the chronically overweight, by contrast, could 'cure' themselves simply by following a healthier lifestyle.



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