What Is the First-Line Treatment for Polycystic Ovarian Syndrome?
Polycystic ovarian syndrome (PCOS) requires a structured, evidence-based first-line approach. The initial management focuses on improving metabolic health — particularly central adiposity and lipid profile — in all women with the condition.
This protocol covers the recommended first-line strategy for PCOS, targeting measurable improvements in metabolic parameters as the primary treatment goals.
The first-line approach centres on lifestyle intervention — a structured combination of physical activity and behavioural strategies. The complete protocol specifies which components to combine, and the behavioural framework that supports sustained change.
Treatment goals
Improvement in central adiposity and lipid profile.
References
DOI: 10.1016/j.fertnstert.2023.07.025
- Lifestyle intervention (exercise alone or multicomponent diet combined with exercise and behavioural strategies) should be recommended for all women with PCOS, for improving metabolic health including central adiposity and lipid profile.
- Lifestyle interventions could include behavioural strategies such as goal-setting, self-monitoring, problem solving, assertiveness training, reinforcing changes, and relapse prevention, to optimize weight management, healthy lifestyle and emotional wellbeing in women with PCOS.