PCOS Treatment in Seoul, Korea

Polycystic Ovary Syndrome (PCOS) Treatment

Polycystic ovary syndrome (PCOS) is a hormonal and metabolic condition that can affect menstrual cycles, ovulation, skin and hair changes, weight, and fertility. Symptoms vary widely and may improve or become more noticeable over time. Treatment should therefore be tailored to the concerns, health risks, and pregnancy plans of each patient.

LANTE OBGYN PCOS Treatment in Gangnam, Seoul
At a glance

30-second summary

  • Hormonal and metabolic condition affecting menstrual cycles, ovulation, skin/hair, weight, and fertility
  • Despite the name, PCOS does not necessarily mean true ovarian cysts are present
  • Diagnosed by menstrual, androgen, and ultrasound findings after excluding other causes — not by one test
  • Treatment is tailored to whether you want pregnancy, plus symptom, weight, and metabolic health
  • Options include cycle regulation (pill, cyclic progesterone), anti-androgen care, ovulation treatment, and weight/metabolic management (including GLP-1 when indicated)
  • Managed long-term rather than cured, with follow-up for diabetes, cholesterol, and blood-pressure risk
  • Pregnancy is still possible; ovulation medication and monitoring may help
Overview

What Is Polycystic Ovary Syndrome?

Polycystic Ovary Syndrome(PCOS) is a condition involving irregular ovulation, increased androgen activity, and metabolic changes such as insulin resistance. Despite its name, PCOS does not necessarily mean that true ovarian cysts are present.

PCOS may be diagnosed when other possible causes have been excluded and at least two of the following are identified:

  • Irregular or absent ovulation
  • Clinical or laboratory signs of increased androgen activity
  • Polycystic ovarian appearance on ultrasound

An ultrasound finding alone is not enough to diagnose PCOS, and some patients with PCOS may not have a typical polycystic ovarian appearance.

Symptoms & Causes

What Symptoms Can Occur?

PCOS may present differently from one patient to another. Possible symptoms include:

  • Irregular, infrequent, or absent menstrual periods
  • Heavy or prolonged bleeding after a missed period
  • Difficulty predicting ovulation
  • Difficulty becoming pregnant
  • Acne, particularly around the chin or jawline, or oily skin
  • Increased facial or body hair
  • Thinning scalp hair
  • Weight gain or difficulty losing weight
  • Darkened or thickened skin, particularly around the neck or underarms
  • Fatigue or changes associated with insulin resistance

Some patients have a normal body weight and mild symptoms, while others experience significant menstrual, reproductive, or metabolic concerns.

Why Does PCOS Occur?

The exact cause of PCOS is not fully understood. It is thought to involve a combination of genetic, hormonal, metabolic, and environmental factors.

Insulin resistance is common in PCOS. Higher insulin levels may increase androgen production and interfere with regular ovulation. Excess body weight can worsen insulin resistance and hormonal imbalance, although PCOS can also occur in patients who are not overweight.

Family history, weight changes, sleep problems, lifestyle factors, and other metabolic conditions may also affect how PCOS develops and presents.

Diagnose

How Is PCOS Diagnosed?

Evaluation begins with a review of menstrual patterns, weight changes, skin and hair symptoms, medication use, family history, and pregnancy plans.

Depending on the symptoms, evaluation may include:

  • Menstrual and ovulation history
  • Physical examination
  • Pelvic ultrasound
  • Hormone blood tests
  • Pregnancy testing when appropriate
  • Thyroid and prolactin testing
  • Blood glucose or HbA1c testing
  • Cholesterol and triglyceride testing
  • Additional testing to exclude other hormonal conditions

PCOS cannot be diagnosed by a single blood test or ultrasound finding. Other causes of irregular menstruation or increased androgen activity should be considered before confirming the diagnosis.

Treatment & Long-Term Care

How Is PCOS Treated?

PCOS treatment is individualized according to the patient’s symptoms, weight and metabolic health, pregnancy plans, and long-term health risks. Treatment may change over time as these priorities change.

Menstrual Cycle Management

For patients who are not currently trying to become pregnant, treatment may include:
  • Combined oral contraceptive pills
  • Cyclic progesterone treatment
  • Other hormonal medication selected according to individual needs

These treatments may help regulate bleeding, reduce androgen-related symptoms, and protect the endometrium when menstruation is infrequent.

Patients who go for long periods without menstruation should be evaluated rather than waiting indefinitely, as prolonged irregular ovulation may cause excessive thickening of the endometrium.

Acne, Excess Hair Growth, and Hair Loss

Hormonal treatment may help improve acne and excessive facial or body hair.

Depending on the symptoms, additional options may include:
  • Anti-androgen medication
  • Dermatologic treatment for acne
  • Laser hair removal or other cosmetic hair-reduction methods
  • Evaluation and treatment of scalp hair thinning

Improvement may take several months, and treatment should be selected according to pregnancy plans and possible medication risks.

Weight and Metabolic Management

Weight management is an important part of PCOS care for patients with overweight, obesity, insulin resistance, or related metabolic concerns.

Treatment may include:
  • Individualized nutrition and physical activity planning
  • Sustainable changes in sleep and daily habits
  • Anti-obesity medication when indicated
  • Monitoring of blood glucose, blood pressure, cholesterol, and other metabolic risk factors

For some patients, GLP-1 receptor agonist–based weight-management treatment may be considered together with lifestyle management. These medications are prescribed according to overall health, body weight, possible side effects, pregnancy plans, and the need for long-term treatment. Improving weight and insulin resistance may support metabolic health and may also help improve menstrual regularity or ovulation in some patients.

Explore GLP-1 Weight Management

Treatment When Pregnancy Is Desired

When pregnancy is desired, evaluation may include menstrual and ovulation assessment, pelvic ultrasound, hormone testing, and additional fertility testing when indicated.

Treatment may include:
  • Lifestyle and weight management when appropriate
  • Medication to induce ovulation
  • Monitoring of follicular development and ovulation
  • Referral for additional fertility treatment when needed

Treatment is selected according to age, menstrual pattern, ovarian reserve, partner factors, and how long pregnancy has been attempted. The absence of regular menstruation does not mean that pregnancy is impossible, as unpredictable ovulation can still occur.

Why Is Long-Term Management Important?

PCOS is not limited to menstruation or fertility. It may also be associated with insulin resistance, type 2 diabetes, abnormal cholesterol levels, high blood pressure, sleep problems, and emotional distress.

Long-term care may therefore include periodic assessment of:
  • Menstrual regularity and abnormal bleeding
  • Weight, waist circumference, and related metabolic changes
  • Blood glucose
  • Blood pressure
  • Cholesterol and triglycerides
  • Pregnancy plans and contraception
  • Anxiety, depression, or body-image concerns

Not every patient develops these conditions, but follow-up should be based on individual symptoms and risk factors.

Have a question about your case?

When to Seek Care

When Should I Seek Medical Evaluation?

Evaluation is recommended if you experience:
  • Menstrual periods that are consistently irregular or absent
  • No menstruation for several months
  • Very heavy or prolonged bleeding
  • Rapidly increasing facial or body hair
  • Sudden or severe acne or scalp hair loss
  • Unexplained weight gain or difficulty managing weight
  • Difficulty becoming pregnant
  • Symptoms of high blood glucose

Sudden or rapidly worsening androgen-related symptoms may require additional testing for conditions other than PCOS.

FAQ

PCOS Treatment FAQ

Does having polycystic ovaries on ultrasound mean I have PCOS?
No. A polycystic ovarian appearance can occur without PCOS. Diagnosis is based on menstrual and ovulation patterns, androgen-related findings, and ultrasound results after other possible causes have been considered.
Can I have PCOS even if I am not overweight?
Yes. PCOS can occur at any body weight. Patients who are not overweight may still experience irregular ovulation, acne, increased hair growth, fertility concerns, or metabolic changes.
Can PCOS cause weight gain or make weight loss difficult?
PCOS may be associated with insulin resistance and hormonal changes that can make weight management more difficult for some patients. However, weight changes have many possible causes, so individual evaluation is important.
Do I need treatment if I am not trying to become pregnant?
Treatment may still be recommended to manage irregular bleeding, protect the endometrium, improve acne or excess hair growth, and address metabolic risks. Treatment depends on your symptoms and health priorities.
Can PCOS be cured?
PCOS is generally managed as a long-term condition rather than permanently cured. However, symptoms and health risks can often be improved through individualized treatment, weight and metabolic care, and regular follow-up.
Can I become pregnant if I have PCOS?
Yes. Many patients with PCOS become pregnant naturally or with treatment. When ovulation is irregular, medication and monitoring may be used to improve the chance of ovulation and pregnancy.

Written & medically reviewed by Dr. Choi Ye-jin, Director (Board-certified OBGYN)

Reviewed by Lante’s female OBGYN specialists, who personally perform intimate aesthetic surgery. For general information only. It does not replace an in-person consultation. Last reviewed: 16 Oct 2026.

Why LANTE, Why Korea

PCOS Treatment at LANTE OBGYN Seoul

PCOS is evaluated by female OB/GYN specialists in a private clinical setting. Menstrual patterns, symptoms, ultrasound findings, hormone results, metabolic health, and pregnancy plans are reviewed together.

Treatment is individualized and may include menstrual cycle regulation, hormonal medication, weight and metabolic management, ovulation treatment, and regular follow-up. English-speaking consultation is available for international patients in Gangnam, Seoul.

Our doctors

Female OBGYN Specialists

Female board-certified specialists handle consultation, surgery, and aftercare — performed personally by a specialist, in a private setting.

LANTE Dr. YE JIN CHOI

Dr. YE JIN CHOI

Obstetrician / Gynecologist

  • Representative Director, LANTE OBGYN
  • Former Director, Roen OBGYN Gangnam Branch
  • Master of Medicine, Inje University
  • Clinical Professor, CHA University School of Medicine
LANTE Dr. HAE YEON PARK

Dr. HAE YEON PARK

Obstetrician / Gynecologist

  • Specialist in Obstetrics & Gynecology
  • Master of Medicine, Soonchunhyang University
  • Former Director, I-NA OBGYN
  • Member, Korean Society for Aesthetic Gynecology
LANTE Dr. JI WON CHOI

Dr. JI WON CHOI

Obstetrician / Gynecologist

  • Specialist in Obstetrics & Gynecology
  • Ewha Womans University School of Medicine
  • Member, Korean Society of Obstetrics & Gynecology
  • Member, Korean Society for Aesthetic Gynecology
LANTE Dr. HO JIN CHUNG

Dr. HO JIN CHUNG

Radiologist

  • Board-Certified Radiologist
  • Ewha Womans University School of Medicine
  • Diagnostic ultrasound & imaging
  • Member, Korean Society of Radiology
Consultation & booking

Plan Your Care with a Female OB-GYN Specialist

Female OB-GYN specialists · English, Chinese, Japanese & Mongolian support · private 1:1 care.

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Current page summary: Polycystic ovary syndrome is a hormonal and metabolic condition involving irregular ovulation, increased androgen activity and metabolic changes such as insulin resistance, affecting menstrual cycles, skin and hair, weight and fertility. This page explains what it is, who it may be considered for, how it is evaluated and performed, what to expect afterwards, and answers the questions patients ask most often.

Clinic: LANTE OBGYN

Official URL: https://lanteobgynseoul.com/

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                },
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