No permanent cure is established for PCOS
Achieve and maintain a healthy weight if overweight (even modest loss can improve symptoms)
Use lifestyle changes consistently: balanced diet, regular physical activity, adequate sleep
Manage insulin resistance with diet, exercise, and clinician-guided medications when indicated
Consider metformin if prescribed by a clinician for insulin resistance and cycle regulation
Use hormonal therapy as prescribed to regulate periods (e.g., combined oral contraceptives)
Consider progestin therapy periodically to protect the uterine lining if you are not having regular periods
Use anti-androgen treatment for excess hair growth/acne if prescribed (with appropriate contraception guidance)
For infertility, use clinician-guided ovulation induction options (e.g., letrozole as first-line in many guidelines)
Treat specific symptoms directly: acne therapies, hair removal/hair growth reduction options, and thyroid/prolactin evaluation when relevant
Monitor and manage cardiovascular and metabolic risk: blood pressure, lipids, A1C/glucose, and weight trends
Screen for and manage complications such as sleep apnea and endometrial hyperplasia risk per clinician guidance
Avoid smoking and limit alcohol; follow a sustainable nutrition plan
Maintain long-term follow-up with a gynecologist/endocrinologist or primary care clinician
Update treatment based on lab results and symptom changes over time
Continue prevention-focused care even when symptoms improve