Polycystic Ovary Syndrome (PCOS) is a common hormonal condition affecting many women in Australia. While it impacts various aspects of health-from menstrual irregularities and fertility challenges to metabolic risks-one important fact to understand is that PCOS currently has no cure. However, with the right management strategies, many women can effectively control symptoms and lead healthy, fulfilling lives.
Why Is There No Cure for PCOS?
PCOS is a complex, chronic condition involving hormonal imbalances, insulin resistance, and genetic and environmental factors. Because it arises from multiple underlying causes and manifests differently in each individual, there is no single treatment that completely eradicates the syndrome.
According to Healthdirect Australia and the World Health Organization (WHO), PCOS cannot be cured, but its symptoms can be significantly improved through targeted interventions.
Managing PCOS Symptoms in Australia
Though PCOS cannot be cured, Australian healthcare providers focus on managing symptoms and reducing long-term health risks. Treatment is personalised and may include:
- Lifestyle Changes: Eating a balanced diet, maintaining a healthy weight, and engaging in regular physical activity can improve insulin sensitivity and hormonal balance. Even a modest weight loss of 5-10% can make a big difference.
- Medications:
- Combined oral contraceptive pills (COCP) help regulate menstrual cycles and reduce androgen-related symptoms like acne and excess hair growth.
- Metformin improves insulin resistance and may assist with weight management and menstrual regularity.
- Anti-androgens such as spironolactone can reduce unwanted hair growth but require contraception due to potential risks during pregnancy.
- Fertility treatments like letrozole are first-line for inducing ovulation in women trying to conceive.
- Mental Health Support: Addressing anxiety, depression, and body image concerns is vital for comprehensive care.
Advances in PCOS Care: Australian Leadership
Australia is at the forefront of PCOS research and care. The 2023 International Evidence-based Guideline, led by Monash University, provides updated recommendations emphasising personalised care, shared decision-making, and addressing broader health issues such as mental wellbeing and metabolic risks.
What Happens Without Treatment?
Untreated PCOS can lead to complications such as infertility, increased risk of type 2 diabetes, cardiovascular disease, endometrial cancer, and psychological distress7. Early diagnosis and ongoing management are essential to reduce these risks.
Accessing PCOS Care in Australia
From July 2025, Australian women with PCOS will benefit from extended Medicare-funded specialist consultations, enabling more comprehensive assessments and personalised treatment plans6. Women can access care through GPs, endocrinologists, gynaecologists, fertility specialists, and multidisciplinary clinics.
While there is no cure for PCOS in Australia or globally, effective symptom management and lifestyle interventions empower women to control their condition and improve quality of life. Advances in research and healthcare delivery continue to enhance support and outcomes for women living with PCOS.