What are the recommended long-term management options for a 25-year-old female diagnosed with PCOS who has experienced irregular periods since menarche, persistent fatigue, and weight gain, and is it clinically advisable to rely indefinitely on hormonal medications like progesterone or oral contraceptives to induce monthly menstruation?
For PCOS, managing weight and fatigue often starts with lifestyle adjustments, like balanced nutrition and regular activity, which support your metabolism. Regarding hormonal medications like oral contraceptives or periodic progesterone, they are generally safe and highly effective for long-term use. They protect your uterine lining from abnormal thickening due to missed periods. However, they aren't your only option; medications that improve insulin sensitivity can also help restore regular cycles. I highly recommend discussing a personalized, holistic plan with your gynecologist or endocrinologist.