PCOS Treatment: What Works and How to Start Today

If you’ve been diagnosed with polycystic ovary syndrome (PCOS), you’ve probably heard a lot of conflicting advice. The good news is that you don’t have to guess. Below you’ll find the most reliable medical options approved by the FDA and the lifestyle changes that actually move the needle on symptoms.

Medical Options Approved by the FDA

First, let’s talk pills. The most common prescription for PCOS is combined oral contraceptives. They regulate hormone spikes, thin the uterine lining, and often help with acne and unwanted hair. Talk to your doctor about a low‑dose estrogen option if you’re worried about side effects.

If you’re trying to get pregnant, metformin is the go‑to drug. It improves insulin sensitivity, which many women with PCOS need to get their cycles back on track. Start with a low dose, increase slowly, and keep an eye on any stomach upset.

For stubborn excess hair, a prescription called spironolactone can block the androgen that fuels hair growth. Remember, it’s a diuretic, so you’ll need regular blood tests to watch your potassium levels.

All these meds require a prescription and a follow‑up plan. Keep a notebook of what you take, when you take it, and any changes you notice. That makes it easier for your doctor to fine‑tune the regimen.

Lifestyle Changes that Boost Results

Medication works best when you pair it with the right habits. A balanced diet low in refined carbs can lower insulin spikes. Think whole grains, veggies, lean protein, and healthy fats like avocado or olive oil.

Exercise isn’t just about weight loss; it also helps your cells use insulin better. Aim for at least 150 minutes of moderate activity per week – brisk walking, cycling, or dancing count. Even short, high‑intensity intervals can make a big difference.

Stress management is often overlooked. High cortisol can worsen hormone imbalances. Try a simple breathing exercise, a short yoga flow, or a daily walk outside to keep stress in check.

Finally, watch your sleep. Getting 7‑9 hours a night supports hormone regulation. If you struggle to fall asleep, limit screen time an hour before bed and keep your bedroom cool and dark.

Combine these steps with your prescribed meds, and you’ll see progress faster. Track your menstrual cycle, skin changes, and energy levels in a journal or a health app. Data helps you and your doctor see what’s working and where tweaks are needed.

PCOS is a long‑term condition, but you have tools to manage it. Start with a conversation with your healthcare provider, pick a medication that matches your goals, and add the lifestyle tweaks that fit your life. Small, consistent actions add up to big results.