11 Hormonal Imbalance Treatments Explained Simply

4. PCOS-Specific Medical Treatments

Polycystic ovary syndrome (PCOS) commonly causes irregular cycles, high androgen levels, acne, excess hair growth, and difficulty with weight. Treatment is tailored to priorities—cycle regularity, fertility, or metabolic health. First-line medical options include combined oral contraceptives for cycle control and anti-androgen medications for hirsutism or acne. For metabolic aspects, insulin-sensitizing therapy such as metformin is often used to improve insulin resistance and support weight management. For fertility, medications like clomiphene citrate or letrozole may be prescribed under specialist care. Evidence supports metformin and oral contraceptives for their respective goals, and ovulation-induction treatments are effective under monitoring. Timeline varies: metabolic improvements may take a few months, while cycle regulation often appears in the first three months. Safety considerations include monitoring blood glucose, liver function where relevant, and discussing pregnancy plans because some drugs require stopping before conception. Work closely with an endocrinologist or gynecologist experienced in PCOS management.