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Polycystic ovary syndrome

Syndroma ovariorum polycysticorum · Syndrom polycystických ovarií

female only

What it is

Insulin resistance and androgen excess disturb ovulation. Affects ~1 in 10 women.

Symptoms & signs

  • Irregular or absent periods
  • acne
  • excess facial hair
  • scalp hair thinning
  • weight gain
  • difficulty conceiving

🚩 Get help if…

  • see a doctor soon No period for over 3 months
  • see a doctor soon Fast new hair growth, a deepening voice or balding
  • see a doctor soon Very heavy or very long bleeding
  • see a doctor soon Great thirst and passing lots of urine

Where it strikes

Medical treatment

  • Combined pill for cycle control
  • metformin
  • letrozole for ovulation
  • spironolactone for hirsutism
  • IVF if needed

Natural & lifestyle

  • 5–10% weight loss restores ovulation in many
  • low-glycaemic diet
  • resistance exercise
  • inositol 4 g/day (small trials)
  • vitamin D

Emerging & experimental

  • GLP-1 agonists
  • inositol combinations
  • AMH-targeted research

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Spearmint tea — small trials lower testosterone and hair growth mixed evidence
  • Berberine — trials show effects similar to metformin mixed evidence
  • Acupuncture — trials disagree mixed evidence
  • Cinnamon — small trials improve cycle regularity early / small studies
  • Seed cycling — popular online; no evidence anecdotal / traditional

ICD codes