Long-Term Risk Reduction in Polycystic Ovarian Syndrome (PCOS)
For the patient who does not wish to become pregnant and does not complain of hirsutism, but is anovulatory and has irregular bleeding, therapy is directed at avoiding an overgrowth of the endometrial lining. The use of a progestational agent such as Prometrium, Provera, or Norlutate for the first 12-14 days of every month, or every other month, is inexpensive and generally well-tolerated.
Another option is birth control pills in either a cyclic or continuous fashion. Transdermal or transvaginal estrogen-progestin contraception is also an acceptable choice for treatment.
Associated with PCOS is the Metabolic Syndrome, which is a group of characteristics that includes: obesity, high blood pressure, elevated blood sugar levels, and high triglycerides. Having a combination of these characteristics increases a patient's risk of developing type II diabetes and heart disease. Here at the Southeastern Fertility Center, we utilize diet, exercise, and cholesterol lowering agents to keep the Metabolic Syndrome under control in order to help patients live longer and decrease their risk of heart attack and stroke.