Women’s Health Menstrual HealthPolycystic Ovary Syndrome Management

Polycystic Ovary Syndrome (PCOS) Treatment Singapore

Polycystic Ovary Syndrome (PCOS) is one of the most common hormonal conditions affecting women of reproductive age. It can impact menstrual regularity, fertility, skin, and metabolism, but with the right approach it is highly manageable.

Across our medical group — including Asimont Clinic, Motherlove, Motherlove GP, and our dedicated gynaecology specialist clinic — we provide confidential, holistic care to support women with PCOS in restoring hormonal balance, managing symptoms, and safeguarding long-term health.

Understanding The Condition

What Is PCOS and How Does It Affect the Body?

PCOS is a hormonal condition involving irregular ovulation, elevated levels of male hormones (androgens), and the presence of multiple small follicles in the ovaries. Women with PCOS may experience irregular periods, acne, hair changes, weight fluctuations, and fertility challenges.

Some individuals may have no visible symptoms and remain undiagnosed for years, while others develop metabolic complications if the condition is not properly monitored.

Recognising When PCOS May Require Medical Attention

When You Should See A Doctor Or Seek Help Immediately?

You should consult a doctor if:

Experience irregular, missed, or infrequent periods

Menstrual irregularities are a common sign of ovulatory dysfunction in PCOS.

Notice excessive facial/body hair, acne, or hair thinning

These may reflect elevated androgen levels or hormonal imbalance.

Struggle to conceive despite regular, unprotected intercourse

Difficulty getting pregnant may point to irregular ovulation or related issues.

Have unexpected weight gain or difficulty managing weight

Weight changes are often associated with insulin resistance and PCOS.

Show signs of insulin resistance

Fatigue after meals or darkened skin patches may indicate metabolic changes.

Have been told you have polycystic ovaries but lack clarity

A formal evaluation helps confirm your diagnosis and treatment needs.

Recognising the Features of Polycystic Ovary Syndrome

Common Signs and Symptoms of Polycystic Ovary Syndrome

PCOS can present with a range of symptoms, including:

Irregular, missed, or delayed periods

Menstrual cycles may be infrequent or unpredictable due to ovulatory issues.

Excessive hair growth (hirsutism)

Unwanted hair on the face, chest, or abdomen may be linked to elevated androgens.

Acne or oily skin

Hormonal imbalances can contribute to persistent breakouts and excess sebum.

Weight gain or difficulty losing weight

PCOS is often associated with insulin resistance and metabolic challenges.

Hair thinning on the scalp

Androgenic alopecia may cause gradual hair loss, particularly at the crown.

Fertility problems

Irregular ovulation can make it more difficult to conceive.

Polycystic ovaries on ultrasound

Enlarged ovaries with multiple follicles may be visible on imaging.

Comprehensive Evaluation Through Clinical, Hormonal, and Imaging Assessment

Diagnosing PCOS at Our Affiliated Clinics

During your consultation, our doctor may carry out the following assessments:

Detailed menstrual and medical history

Reviewing your cycle patterns, symptoms, family history, and lifestyle factors.

Physical examination

Checking for clinical signs such as acne, hirsutism, or hair thinning.

Blood tests

Measuring hormone levels, including androgens, insulin, and reproductive markers.

Pelvic ultrasound scan

Evaluating ovarian size, structure, and the presence of multiple follicles.

Structured, Personalised Care for PCOS Management at Our Affiliated Clinics

Treatment Process

Step 1

Medical Consultation

Your doctor will review your symptoms, menstrual history, lifestyle habits, and any family or metabolic risk factors.

Step 2

Physical Assessment

A clinical evaluation will be done to observe signs such as acne, excess hair growth, hair thinning, and weight distribution.

Step 3

Diagnostic Investigations (As Indicated)

Depending on your presentation, the following tests may be recommended:

• Blood tests to assess reproductive hormones, testosterone, insulin, glucose, and cholesterol

• Pelvic ultrasound to evaluate ovarian volume and follicle count

• Thyroid and prolactin screening to rule out other hormonal disorders

Step 4

Personalised Treatment Plan

Your care plan is tailored based on your diagnosis and individual health goals:

Lifestyle Counselling:
• Guidance on sustainable weight management (even 5–10% reduction can improve ovulation), nutrition, and exercise

Hormonal Therapy:
• Use of oral contraceptive pills or cyclic progesterone to regulate menstrual cycles

Anti-Androgens:
• Prescribed to manage excess hair growth, acne, or scalp hair thinning

Metformin:
• To improve insulin sensitivity if insulin resistance or prediabetes is present

Ovulation Induction:
• For individuals actively trying to conceive, ovulation support may be initiated or referred

Step 5

Follow-Up & Monitoring

We provide long-term support to ensure sustainable improvements and adjust your care as your needs evolve.

Confidential & Compassionate Care At Our Affiliated Clinics

All PCOS consultations across our medical group are conducted in a confidential and supportive environment by trained women’s health professionals. Care is delivered in line with PHMC guidelines and MOH professional standards, under the supervision of doctors registered with the Singapore Medical Council. Accredited under the SMC APOC framework, our team provides ethical, safe, and evidence-based care to help women understand PCOS and manage it effectively for long-term wellbeing.

Frequently Asked Questions (FAQs)