Polycystic Ovary Syndrome (PCOS) causes distress in many aspects, and each patient may have different issues. There is no single treatment that can solve all problems, so each symptom of the syndrome must be addressed individually. PCOS is now considered a long-term metabolic disorder with a genetic tendency, and treatment focuses primarily on lifestyle modification.

Metabolic abnormalities are long-standing problems in many PCOS patients, and adopting a healthy lifestyle is key to restoring physiological balance.

Weight control
Obesity is a major factor that worsens PCOS. Weight management is the most important principle to prevent the condition from deteriorating. For overweight PCOS patients, weight loss is the first-line treatment, which can help restore normal hormone levels, resume regular ovulation, and reduce the risk of miscarriage.

Exercise more
Helps improve insulin sensitivity and also supports weight control.

Diet control
Avoid excessive carbohydrates, reduce sugar intake, and replace with sufficient protein.。

Treat symptoms individually

Currently, there is no treatment that addresses all symptoms of PCOS. Management should be tailored to the individual:

1.For symptoms caused by excess androgens such as acne, hirsutism (excess hair), or hair loss, anti-androgen medications or oral contraceptives with anti-androgenic effects can be used.

2.For adolescents with irregular periods who are not planning pregnancy, menstruation should not be ignored. Long-term amenorrhea may cause the endometrium to be overly stimulated by estrogen, increasing the risk of endometrial hyperplasia and future endometrial cancer.

3.In fertility treatment, ovulation induction is the first-line therapy using ovulation-stimulating drugs, which generally have good efficacy. However, in some patients—especially obese individuals—additional medications may be required to improve the response. PCOS ovaries have abnormal follicular development, with follicles stalled in growth rather than degenerating. These follicles remain highly sensitive to stimulation, increasing the risk of overstimulation during treatment.

4.In some PCOS patients, ovarian response may be too strong during ovulation induction, causing many follicles to grow simultaneously, leading to ovarian hyperstimulation syndrome (OHSS). If pregnancy occurs during this condition, symptoms may worsen and even require hospitalization, or in severe cases, pose a life-threatening risk. In such cases, treatment may need to be canceled to avoid pregnancy. With advancements in freezing technology, eggs can now be fertilized after stimulation, embryos frozen, and implanted after the ovaries recover—this is both safe and highly effective.
Frozen embryos are often advantageous for PCOS patients. A single egg retrieval can produce embryos that allow for future transfers without another retrieval cycle.

PCOS is one of the most common endocrine disorders in women, and also one of the most under-treated female health issues. The medical field has long lacked consensus on the causes and management of PCOS. Although current medicine cannot cure the disorder, like diabetes or hypertension, understanding the condition can help patients manage their physiological problems and seek symptom-specific treatments. Through this, they can rebuild confidence and maintain a healthy physical and mental life.

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