Overview of PCOS and Ovarian Cyst

• PCOS is a hormonal disorder causing enlarged ovaries with small cysts. A 3cm cyst may require monitoring but is not uncommon.

Alternative Hormonal Treatments

• Consider combined oral contraceptives with different formulations or progestin-only pills. Avoid those causing previous side effects.

Non-Hormonal Medical Treatments

• Metformin can help manage PCOS symptoms and improve ovulation. Anti-androgens other than cyproterone acetate may be considered.

Lifestyle Modifications

• Focus on weight management, a balanced diet, and regular exercise to improve symptoms and potentially reduce cyst size.

Monitoring and Follow-up

• Regular ultrasounds are important to monitor the cyst. Surgical evaluation may be needed if the cyst persists or grows.

Referral to Specialists

• Consult with gynecologists and endocrinologists for comprehensive management of PCOS and ovarian cysts.

Patient-Centered Considerations

• Tailor treatments to minimize side effects and enhance quality of life. Discuss fertility goals if relevant.