Understanding Polycystic Ovary Syndrome (PCOS)

A Comprehensive Guide to Causes, Symptoms, and Treatment Options

Endocrinology

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Last updated: Mar 24, 2025

What is PCOS?

Polycystic ovary syndrome is a common hormonal disorder affecting women of reproductive age. It involves multiple small cysts on the ovaries, irregular periods, and elevated levels of male hormones (androgens).

Key Symptoms

  • Irregular menstrual cycles
  • Excess facial and body hair (hirsutism)
  • Acne
  • Weight gain and difficulty losing weight
  • Thinning scalp hair
  • Multiple small cysts on ovaries
  • Infertility or difficulty getting pregnant

Causes and Risk Factors

Primary Factors:

  • Excess insulin
  • Elevated androgen levels
  • Genetic predisposition
  • Low-grade inflammation

Diagnosis

Diagnosis typically requires at least two of these three criteria:

  1. Irregular periods
  2. Excess androgens (blood tests or physical signs)
  3. Polycystic ovaries (confirmed by ultrasound)

Health Implications

  • Increased risk of type 2 diabetes
  • Cardiovascular disease
  • Endometrial cancer
  • Depression and anxiety
  • Infertility

Treatment Options

Lifestyle Changes

  • Regular exercise
  • Healthy diet
  • Weight management

Medications

  • Birth control pills
  • Anti-androgen medications
  • Metformin for insulin resistance
  • Fertility medications (if trying to conceive)

Living with PCOS

Self-Management Strategies

  • Regular medical check-ups
  • Blood sugar monitoring
  • Stress management
  • Support group participation

When to See a Doctor

Consult healthcare providers if experiencing:

  • Irregular periods
  • Difficulty conceiving
  • Unusual hair growth
  • Significant weight changes

Prevention of Complications

  • Regular screening for diabetes
  • Cardiovascular health monitoring
  • Mental health support when needed
  • Regular exercise routine

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