Dear Ma'am,
Thank you for your query. At the outset I'd like to ask you regarding your current desire for fertility as the treatments vary, if you wish to conceive or not.
PCOS is an endocrine disorder charecterised by:
1. Hyperandrogenemia.
2. Multiple ovarian cyst
3. Irregular cycles
Any 2 of the 3 are required to make the diagnosis.
If you wish to conceive: Pain indicates that ovulation has occurred in the previous cycle and only analgesics with folic acid may be prescribed. Vomiting, loosemotion and pain are often accompaniments of prostaglandin production during menstruation and do well with a group of drugs called NSAIDs.
If you don't wish to conceive, but wish for a regular menstrual cycle with minimal pain. You could consult your local Gynaecologist to prescribe you for a trial of symptom relief with low dose oral contraceptive pills for a few months
In additional it is essential for you to undertake certain diet and lifestyle measures to keep your BMI between 20-24. Even a 5 percent weight loss helps immensely in regularising the cycle. Also that PCOS should be viewed also in terms of long term consequences of predisposition to
Diabetes,heart disease and Endometrial hyperplasia, hence importance of instituting preventative measures early.
Do let me know if there are any other queries.
Regards,
Aditi