PCOS is a common hormonal and metabolic disorder that affects 5-15% of women in the reproductive age

Symptoms of PCOS is due to androgen excess, ovulatory dysfunction, polycystic ovaries and often insulin resistance

There is dysfunction of the hypothalamic pituitary ovarian axis, characterised byabnormal secretion of gonadal hormones (increase FSH, LH and testosterone)

There may also be other hormonal abnormalities (lower growth hormone)

Treatment for PCOS

The treatment options include lifestyle modification with better diet, increase physical activity, behavioural and weight management program

Medications include combine oral contraceptive medications, Metformin, GLP-1 injections, androgen receptor antagonist

Metabolic and bariatric surgery is successful to reduce total body weight but may also be beneficial for improving glycolipid metabolism, hirsutism, hyperandrogenemia and menstrual irregularities Surgery may help to improve or normalise gonadal hormones (oestradiol, FSH, LH, testosterone) and possibly