You Asked For It: Treating PCOS By Sonja Kristiansen, MD on July 22, 2008

In an earlier post, Christy asked about PCOS and its treatment. Polycystic Ovarian Syndrome is a complex diagnosis that is relatively easy to treat.

Here are my responses to Christy's questions:

How do you treat [PCOS]?

PCOS is sometimes referred to now as "metabolic syndrome" because the term more accurately reflects the entire condition. For example, not all women with PCOS have ovaries with many cysts.

The goal of treatment is ovulation. Treatment usually consists of oral medication (clomiphene citrate, more commonly referred to by one of its brand names, Clomid).

In the past, another drug, Metformin, was frequently administered in conjunction with Clomid. A couple of years ago, a large study found no advantages to using Metformin strictly for the purpose of getting pregnant. (I wrote about that finding in my November 2006 newsletter.)

How effective is Clomid? Does it work every month?

Clomid is generally effective within the first three cycles of use. Depending on several factors, I may prescribe the medication be used in conjunction with intrauterine insemination (IUI) or timed intercourse.

If a patient is Clomid resistant, what is the next protocol?

If a patient's ovaries are resistant to Clomid, the next step is often gonadotropins, which are administered by injection. Patients who also have abnormal glucose/insulin levels will be prescribed Metformin.

As a side note, it's important that women with PCOS are made aware of the links between that and more serious health conditions like heart disease and diabetes. I encourage all of my patients to make healthy lifestyle changes as needed, not only to increase their chances for pregnancy, but to promote overall better functioning of their total body.

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Dr. Sonja Kristiansen

Houston Fertility Center

Dr. Sonja Kristiansen is the founder and Medical Director of Houston Fertility Center. She is a board-certified Reproductive Endocrinologist Infertility (REI) specialist who is proud to help hopeful parents fulfill their dreams of having children. Our center is affiliated with the:

  • American College of Obstetricians and Gynecologists
  • American Society for Reproductive Medicine
  • Texas Medical Association

We provide convenient care for patients from greater Houston and visitors from out of town. For more information about our services, contact our office online or call (713) 225-5375 today.

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