What is a common treatment option for a woman with PCOS wishing to conceive?

For a woman with polycystic ovary syndrome (PCOS) who is trying to conceive, metformin is often recommended as a common treatment option. Metformin is an insulin-sensitizing medication that can help improve insulin sensitivity. Many women with PCOS have insulin resistance, which can contribute to irregular menstrual cycles and ovulatory dysfunction. By enhancing insulin sensitivity, metformin can help restore normal menstrual cycles and improve ovulation, thereby increasing the chances of conception.

In addition to its benefits for ovulation, metformin can also support weight management in women with PCOS, which is another factor that can influence reproductive health. While oral contraceptive pills are effective for managing symptoms of PCOS, such as menstrual irregularities and acne, they are not suited for women who wish to conceive, as they prevent ovulation. Low-dose corticosteroids are typically not indicated for PCOS unless there is an underlying adrenal condition affecting hormone levels. Weight management is important but may be more relevant as a supportive measure rather than a first-line treatment specifically aimed at enhancing fertility. Thus, metformin stands out as the most appropriate choice for women with PCOS wishing to conceive.