Polycystic Ovarian Syndrome (PCOS) Explained

woman in sunlight

Polycystic ovarian syndrome (PCOS) is seen in about 7% of reproductive age group population.  PCOS affects all areas of the body not just the reproductive system.  It increases a woman’s risk of serious conditions that may have lifelong consequences.

Signs and symptoms include Hyperandrogenism (excess hair growth on face, chest, abdomen, etc., acne, androgenic alopecia), ovulatory dysfunction (amenorrhea, menorrhagia, infertility) and polycystic ovaries.  Chronic anovulation has increased risk for endometrial cancer.

It has multiple etiologies with no genetic screening test and no specific environmental substance but may be related to many different factors working together; these factors include insulin resistance with compensatory hyperinsulinemia which has direct hypothalamic effect causing gonadotrophic secretion and abnormal appetite stimulation with increasing risk for diabetes mellitus and cardiovascular disease.  Another condition that is associated with PCOS is metabolic syndrome.

80% of PCOS patients have obesity with increasing risk for diabetes mellitus, cardiovascular disease, nonalcoholic fatty liver disease, sleep apnea, etc.

PCOS can be diagnosed with history and physical examination, serum testing and pelvic ultrasound.

Management includes life style modification, menstrual regularization and medication to improve insulin sensitivity.  It differs depending on the patient’s desire for pregnancy necessitating ovulation induction.

You Might Also Enjoy...

Are You a Candidate for Non-Surgical Body Contouring?

If you’re feeling self-conscious about excess skin or love handles, you may want to consider non-surgical body contouring to boost your body positivity. Learn more about non-surgical body contouring in our latest blog post!

We offer In-house sonograms!

Ultrasounds are an incredibly important part of obstetrics and gynecology medical care. Garden OB/GYN therefore proudly offers our patients the convenience of in-office ultrasounds. Learn more about it in our latest blog post.

Do you pee when you cough?

We know its an uncomfortable question, and is an even more uncomfortable issue to deal with, but we ask if you suffer from stress urinary incontinence we have a solution for you!

Have You Scheduled Your Well-Woman Exam?

Are you due for your well-woman exam? As the summer season approaches and many of the usual yearly demands slow down a bit (or not at all - who are we kidding), it is a great time to take control of your health.

How can you reduce your risk of getting Skin Cancer?

Skin cancer is known as the most common type of cancer in the United States. Ultraviolet radiation from the sun is the one of the main causes of skin cancer. Learn more about ways to reduce your risk of getting skin cancer in our latest blog post.