Polycystic Ovary Syndrome (PCOS) affects approximately 8–13% of women of reproductive age worldwide. Managing PCOS often involves addressing symptoms like insulin resistance, hormonal imbalance, and excessive hair growth.
PCOS tablets can play a crucial role in balancing hormones, regulating menstrual cycles, and improving overall well-being. Understanding how these medications work and their benefits is essential for effective treatment. This guide will help you navigate the options and choose the right PCOS tablet for your needs.
What is PCOS?

Polycystic Ovary Syndrome (PCOS) is a hormonal condition affecting women with PCOS, leading to irregular periods, infertility, and excess hair growth. It often results from hormonal imbalance and insulin sensitivity issues, impacting reproductive health and uterine health.
Many women experience weight gain, less bloating, and fluctuations in energy levels due to root cause imbalances. Natural remedies like ayurvedic herbs, aloe vera, and myo inositol help manage symptoms.
Medical medicines assist in hormone balance, while lifestyle changes support overall well-being. If untreated, PCOS may lead to cholesterol levels issues, disease, and metabolic risks, making proper treatment essential.
How do PCOS Tablets Help with Hormonal Balance?

1. Regulating Hormones
PCOS tablets help manage hormonal balance by addressing excess male hormones that contribute to unwanted facial hair and acne.
These medications work to stabilize the endocrine system, reducing hormonal fluctuations that cause common symptoms like irregular periods and metabolic issues. Maintaining balanced hormones also supports overall health, reducing long-term risks linked to PCOS.
2. Balancing Menstrual Cycles
Many women experience menstrual irregularities due to PCOS, making it difficult to track ovulation and fertility. By regulating hormone production, PCOS tablets help restore consistent menstrual cycles, ensuring the reproductive system functions properly.
This regulation can also help women dealing with fertility concerns and hormonal imbalances that lead to irregular bleeding patterns.
3. Lowering Androgens

High androgen levels cause facial hair growth, unwanted facial hair, and acne. PCOS tablets, particularly anti-androgen medications, help in lowering insulin levels, which is closely linked to excess androgens.
By managing androgens, these tablets help reduce major causes of visible PCOS symptoms, improving confidence and skin health over time.
4. Stabilizing Estrogen and Progesterone
An imbalance in estrogen and progesterone contributes to several PCOS symptoms. PCOS tablets help in stabilizing these hormones, reducing symptoms like weight fluctuations and mood changes.
This balance also supports d chiro inositol and vitamin levels, which play a role in metabolic health and overall well-being.
5. Managing Mood Swings
Hormonal imbalances often cause emotional distress, leading to anxiety, depression, and unpredictable mood swings. PCOS tablets assist in balancing hormone levels, providing relief from emotional instability.
Addressing these hormonal shifts helps in improving body functions and overall mental health, ensuring better day-to-day well-being.
PCOS tablets provide treatment solutions for managing hormonal imbalances, but lifestyle changes and professional medical advice remain key for effective long-term management.
What are the Different types of PCOS Tablets and Their Functions?

PCOS tablets help manage symptoms by targeting hormone imbalances, insulin resistance, and other underlying factors. Here’s a breakdown of the different types, their functions, and commonly prescribed medications.
1. Combined Oral Contraceptives
These tablets help regulate hormones, making them a common treatment for PCOS-related symptoms.
Medications Under This Category:
- Yaz
- Diane-35
- Ortho Tri-Cyclen
Functions:
✔ Regulate hormones to control menstrual cycles
✔ Reduce acne and excess hair growth
✔ Lower levels of androgens to manage hormonal imbalance
✔ Help with emotional health by stabilizing mood swings
2. Insulin-Sensitizing Agents
These medications help the body process insulin properly, reducing the risk of complications.
Medications Under This Category:
- Metformin (Glucophage, Glycomet)
- Pioglitazone
Functions:
✔ Improve insulin sensitivity to reduce blood sugar spikes
✔ Help manage weight loss by improving metabolism
✔ Support hormonal balance to regulate periods
✔ Lower the risk of developing type 2 diabetes
3. Anti-Androgen Medications

Anti-androgens help control excessive hair growth and acne by blocking male hormone activity.
Medications Under This Category:
- Spironolactone
- Flutamide
- Cyproterone Acetate
Functions:
✔ Reduce unwanted facial hair and excess hair growth
✔ Decrease acne by controlling oil production
✔ Lower androgens to balance hormone levels
✔ Help prevent hair thinning and scalp hair loss
4. Ovulation Induction Medications
For women struggling with infertility, these medications stimulate ovulation.
Medications Under This Category:
- Clomid (Clomiphene Citrate)
- Letrozole
- Gonadotropins
Functions:
✔ Induce ovulation for women unable to conceive naturally
✔ Improve hormonal balance to support reproductive health
✔ Increase the chances of a successful pregnancy
✔ Help regulate menstrual cycles
5. Topical Treatments for Hirsutism
Hirsutism (excess facial and body hair) is common in PCOS, and topical treatments provide targeted relief.
Medications Under This Category:
- Eflornithine (Vaniqa Cream)
Functions:
✔ Slow down facial hair growth
✔ Reduce unwanted facial hair without affecting hormones
✔ Work best when combined with oral anti-androgen therapy
6. Weight Management Medications

These medications help manage weight loss for women with PCOS who struggle with metabolic issues.
Medications Under This Category:
- Orlistat
- Liraglutide (Saxenda, Victoza)
Functions:
✔ Support weight management by reducing fat absorption
✔ Help regulate appetite and cravings
✔ Improve hormonal balance by reducing insulin spikes
✔ Reduce the risk of cardiovascular issues linked to PCOS
7. Anti-Inflammatory Medications
Inflammation is a common issue in PCOS, contributing to symptoms like weight gain and insulin resistance.
Medications Under This Category:
- Aspirin (Low Dose)
- Omega-3 Supplements
Functions:
✔ Reduce chronic inflammation linked to PCOS
✔ Support overall health by protecting against metabolic disorders
✔ Improve insulin sensitivity and hormone regulation
✔ Provide relief from PCOS-related discomfort
Each type of PCOS tablet serves a different purpose, from regulating hormones to supporting weight loss and reducing unwanted facial hair. Choosing the right one depends on symptoms, medical history, and professional recommendations. If you’re unable to manage symptoms through medication alone, combining tablets with lifestyle changes can be beneficial in the long run.
How to Choose the Right PCOS Tablet for You?

1. Identify Your Main PCOS Symptoms
- Start by understanding your key symptoms. Some experience irregular cycles, while others struggle with hair growth, acne, or metabolic issues. Identifying these helps narrow down the right medication.
2. Consider Your Hormonal Imbalance
- If hormone fluctuations are affecting your periods, skin, or mood, tablets that regulate estrogen and progesterone might be helpful. Anti-androgen medications can also assist with excess male hormone activity.
3. Check for Insulin Resistance Issues

- If weight fluctuations, fatigue, and sugar cravings are common, insulin-sensitizing medications like Metformin can help improve metabolic function and support overall hormone balance.
4. Look at Your Fertility Goals
- For those trying to conceive, ovulation induction medications can improve chances of pregnancy. Consulting a doctor is essential before starting fertility treatments.
5. Assess the Need for Anti-Androgen Treatment
- Excess hair growth, scalp hair thinning, and acne may indicate high androgen levels. Anti-androgen medications can help balance hormone levels and reduce these effects.
6. Compare Natural vs. Prescription Options

- Some women prefer herbal or dietary approaches, while others opt for prescribed medications. Understanding the pros and cons of each helps in making an informed decision.
7. Consult a Doctor for Personalized Advice
- Each case of PCOS is different. A doctor can assess symptoms, conduct tests, and recommend the most suitable treatment for long-term management.
How Does a PCOS Tablet Help with Insulin Resistance?

PCOS tablets designed for insulin resistance help the body process glucose more efficiently. They improve how cells respond to insulin, reducing blood sugar spikes and the risk of related health issues. By enhancing insulin sensitivity, these medications support stable energy levels and help manage sugar cravings.
For women struggling with weight fluctuations, these tablets assist in regulating metabolism, making it easier to maintain a healthy balance. They also play a role in reducing inflammation, which is often linked to insulin resistance. Over time, consistent use of the right medication can help restore metabolic stability and support overall well-being.
Does a PCOS Tablet Reduce Excessive Hair Growth?

PCOS tablets can help manage excessive hair growth by regulating hormones that trigger unwanted hair. Anti-androgen medications work by blocking male hormones responsible for thick, dark hair on the face and body. Some birth control pills also help by lowering androgen levels, leading to reduced hair growth over time.
For better results, these tablets are often combined with other treatments like topical creams or laser therapy. While medication can slow hair growth, it takes time to see visible changes. A doctor can help determine the best approach based on individual needs and hormone levels.
What Are the Side Effects of a PCOS Tablet?

1. Nausea and Digestive Issues
- Some women experience nausea, bloating, or an upset stomach.
- These effects are usually mild and improve with food or after a few weeks of use.
2. Weight Fluctuations
- Certain PCOS tablets can lead to slight weight gain or loss.
- This may be due to changes in appetite, water retention, or metabolism adjustments.
3. Mood Changes and Emotional Imbalance

- Hormonal shifts can affect emotions, leading to mood swings or increased sensitivity.
- Managing stress, getting enough sleep, and regular exercise can help balance emotions.
4. Irregular Bleeding or Spotting
- Some medications may cause unexpected spotting between periods.
- This is usually temporary as the body adjusts to hormonal changes.
5. Skin Reactions and Acne Flare-ups
- While some tablets help clear acne, others might cause breakouts initially.
- Skin reactions vary based on individual hormone levels and medication type.
Can Tablets Alone Manage PCOS?

PCOS tablets help regulate hormones, manage symptoms, and improve overall well-being, but they are not a complete solution. Long-term management often requires a combination of medical treatment and lifestyle adjustments. While tablets can address specific issues, other factors play a crucial role in maintaining balance.
What Else Helps Manage PCOS?
- Dietary Changes – Eating balanced meals supports hormone regulation and metabolic health.
- Exercise – Regular movement helps improve insulin sensitivity and overall body function.
- Stress Management – High stress levels can worsen symptoms, making relaxation techniques beneficial.
- Routine Health Checkups – Monitoring progress ensures better treatment effectiveness.
Tablets provide support, but combining them with a well-rounded approach leads to better results in the long run.
Dr. Anshu Agarwal Explains How PCOS Tablets Work

Dr. Anshu Agarwal is a highly experienced gynecologist and obstetrician with over 18 years in the field. She completed her MBBS from Era's Lucknow Medical College in 2007 and MS in Obstetrics and Gynaecology from Motilal Nehru Medical College, Allahabad, in 2012. Currently, she serves as the Director of the Department of Obstetrics and Gynaecology at Medifirst Hospital in Ranchi.
According to Dr. Agarwal, PCOS tablets function through various mechanisms:
- Regulating Menstrual Cycles: These medications help establish regular periods, reducing the risk of endometrial hyperplasia associated with irregular menstruation.
- Reducing Androgen Levels: By lowering male hormone concentrations, PCOS tablets can alleviate symptoms like acne and hirsutism.
- Enhancing Insulin Sensitivity: Some medications improve the body's response to insulin, aiding in the management of insulin resistance commonly seen in PCOS patients.
- Supporting Ovulation: Certain tablets stimulate ovulation, benefiting those facing infertility issues related to PCOS.
- Managing Metabolic Factors: These medications can assist in controlling cholesterol levels and reducing the risk of cardiovascular complications associated with PCOS.
Dr. Agarwal emphasizes that a comprehensive treatment plan, tailored to individual needs, is essential for effectively managing PCOS.
Conclusion
Finding the right PCOS tablet isn’t about one-size-fits-all. It depends on your symptoms, hormone levels, and overall health. While tablets help with menstrual cycles, insulin resistance, and hormonal balance, they work best when combined with healthy lifestyle choices.
If you're unsure which option is right for you, talking to a doctor can help. Managing PCOS takes patience, but small, consistent steps can make a big difference. Listen to your body, stay informed, and choose a treatment that supports your long-term well-being. The right approach can help you feel more in control of your health.