A common problem in women who have polycystic ovarian syndrome is that they do not ovulate on a regular basis, if at all and may require fertility treatment, although many do achieve a pregnancy spontaneously. It is important that the pelvic is assessed and that regular bleeds are induced at intervals.
If the syndrome is associated with obesity, loss of weight can significantly improve the regularity of the menstrual cycles. This is certainly the first step to take. Loss of weight can cause loss of cycles to return to regular cycles with regular ovulation.
Long-term women with polycystic ovarian syndrome are at a greater risk of later developing onset diabetes and it is important to check fasting glucose levels and also lipid profile. Advice is required regarding diet and management of the syndrome particularly in those women with increased hair growth.