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Polycystic Ovary Syndrome (PCOS

What is PCOS?

 

Polycystic ovary syndrome (PCOS) is a common hormonal condition that affects many women of reproductive age. It usually begins during adolescence and often causes fluctuating symptoms over time.

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What are the Symptoms of PCOS?

  • Irregular Periods: Women with PCOS frequently experience irregular or absent menstrual cycles due to infrequent ovulation.
  • Excess Androgens: Elevated levels of “male” hormones (androgens) can lead to physical signs such as excessive facial or body hair (hirsutism).
  • Polycystic Ovaries: Despite the name, PCOS does not necessarily involve cysts. Instead, the ovaries may become enlarged and contain many fluid-filled sacs (follicles) that surround the eggs.
  • Other symptoms of PCOS may include weight gain, thinning hair, acne, and oily skin.
  • PCOS is also associated with an increased risk of developing health problems later in life, such as type 2 diabetes and high cholesterol levels.

Causes:

  • The exact cause of PCOS remains unknown, but it often tends runs in families.
  • Abnormal hormone levels play a major role, including insulin resistance. Many women with PCOS are resistant to insulin action and produce higher insulin levels, contributing to increased androgen production (like testosterone).
  • Being overweight or obese can exacerbate insulin-related issues.

Diagnosis:

  • There is no definitive diagnostic test for PCOS.
  • Doctors need to consider medical history, you may require physical examination, and hormone tests.
  • Ultrasound may help in order to assess the appearance of the  ovaries and the thickness of the uterine lining.

Treatment:

  • While there is no cure for PCOS most of the symptoms can be managed.
  • Lifestyle changes, including weight loss and a balanced diet, can help  improve the symptoms.
  • Some medications are available to address the excessive hair growth, irregular periods, and fertility problems.
  • Surgical procedures like laparoscopic ovarian drilling (LOD) may be recommended if fertility medicines are ineffective. LOD destroys tissue in the ovaries which produce androgens.

Outlook:

  • With the proper treatment, most women with PCOS are able to achieve better symptom control and manage their condition.
  • Early diagnosis and management are crucial in order to prevent long-term complications.

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