Most patients with this disorder will eventually have no problem conceiving, but it usually takes time. And you may need to use fertility drugs. If there is excess weight, reducing it will regulate the period and increase the chance of pregnancy. But if you still don't have regular periods despite losing weight, you should be treated and use medications that stimulate ovulation. Weight loss, both alone and in combination with drug treatment, improves the chances of fertility. Treatment of excess hair in polycystic ovarian disease or ovarian laziness Hormonal treatment of unwanted hair consists of two stages: in the first stage, we use contraceptive pills, if we do not feel enough improvement after 6 months, we add an anti-male hormone drug such as spironolactone to the previous treatment. This treatment does not add extra hair and the existing hair becomes thinner. And to remove these hairs, shaving, epilation, electrolysis, or laser methods can also be used. How can you be effective in treating your disease: If you are overweight, losing weight will improve many of your symptoms. Even losing 5-10% of weight is effective. The best way to lose weight is diet and exercise, and in some cases, oral medications or surgery are recommended. Progesterone: Taking barprogesterone monthly or every two months causes regular periods and thus reduces the risk of uterine cancer. But it doesn't improve things like excess hair and hair loss and it doesn't prevent pregnancy either. Metformin: This drug may also improve the regularity of periods in the long term in obese patients or in cases where specific blood sugar testing is impaired. But it is not effective in all patients. The first choice in these patients is contraceptive pills, but if for some reason it is not possible to use it, we recommend metformin together with progesterone and continue progesterone for 6 months or until the period is regulated. Metformin accelerates weight loss in women suffering from this disease who have the conditions to receive metformin and are under diet and exercise. But not alone as a weight loss drug. Treatment of ovarian laziness or polycystic ovary: The most common treatment worldwide is the use of birth control pills. These pills do not cure the disease, but they cause a monthly period and thus reduce the possibility of uterine cancer. They are also effective in treating excess hair and pimples (acne). And on the other hand, they also prevent unwanted pregnancy. It is important to note that no medicine can cure this disease definitively, and if the medicine is discontinued; Irregular periods and other symptoms return. ### Side effects of birth control pills In some women, during the first months of using contraceptive pills, irregular bleeding is seen, but finally, after 2-3 months, this problem is completely solved. Some women worry about weight gain, but the new pills that contain less hormones usually do not have this problem. In some women, nausea, stiffness and pain in the breast and swelling occur when they start taking the pill, but these symptoms usually disappear after 2-3 months. Birth control pills are usually safe. Although it slightly increases the risk of clot formation in the leg and lung. But this complication is rare in young and healthy women who do not smoke. And you should worry about it more in obese and older women. Laboratory investigation in patients with ovarian laziness or polycystic ovary Depending on your age and symptoms, your gynecologist may order the following tests. Checking blood hormones, and if the disease is confirmed, regular blood sugar and fat checks. Ultrasound of the uterus and ovaries Disease diagnosis The presence of 2 of the following 3 symptoms confirms the diagnosis of this disease: 1- Period irregularity due to lack of regular ovulation 2- The presence of multiple follicles below 10 mm in the ovaries in ultrasound 3- Symptoms of high male hormone (hair loss, pimples or hair loss) or laboratory symptoms of high male hormone What are the symptoms of ovarian laziness and polycystic ovary disease? Usually, the number of periods in a year is less than 8 times. There is weight gain, but not in all people. (about 50%) Growth of rough and dark hair in places such as above the lip, chin, in the middle of the chest line and below the navel. Hair loss (similar to men) The presence of pimples (acne) or oily skin Making it difficult to get pregnant Patients with polycystic ovaries are more likely to suffer from the following diseases. - Diabetes (high blood sugar) - High level of blood cholesterol - Heart disease - Interruption of breathing during sleep - Depression or anxiety Polycystic ovary or lazy ovary (pcos) Polycystic ovary syndrome or ovarian laziness is a disorder that causes irregular periods and symptoms of increased male hormones such as pimples (acne or oily skin), excess hair or hair loss. Most but not all patients gain weight. This disorder is seen in 5-10% of women. In these people, the ovaries do not work well. Normally, women ovulate monthly, in this way, a follicle grows in the ovary and produces hormones, and finally, the egg is released from inside the follicle. But in women with polycystic ovarian disease, instead of producing a large follicle, the ovary produces a lot of small follicles and the hormonal balance is disturbed. And monthly ovulation does not occur. For this reason, fertility in these people faces problems