PCOS affects 4- 20 % of reproductive age women worldwide.
No PCOS patient can have the same treatment plan.
It should be highly personalised and symptom specific to tackle the disease efficiently.
New approaches: Non Pharma and Pharma
Non Pharma:
Try to follow a nutritionally appropriate low fat diet- moderate protein (15%), Fat (30%), Carbs (55%).
Scheduled exercise 30 mins a day as well as incidental exercise if possible.
5-10% of weight loss is as little as needed to modify the outcomes of patients with PCOS.
Pharma:
Low dose Oral contraceptive pill has been the mainstay of treatment for PCOS for many years and a good choice if desired for contraception.
A combination of a the oral contraception with an anti androgen with established blood pressure effect , such as spironolactone, is well tolerated.
Anti Insulin Resistance Drugs:
Metformin is the most widely researched insulin lowering medication to PCOS.
Anti Obesity Agents:
Orlistat , a pancreatic lipase inhibitor, that inhibits dietary fat absorption , has recently been found to lower body weight and to reduce testosterone levels in PCOS patients.
