Polycystic Ovarian Syndrome
PCOS
PCOS is a chronic condition that requires ongoing support. PCOS occurs in 5-10% of women.
Definition
Diagnosis of PCOS requires at least 2 out of the following 3 criteria:
Menstrual Irregularity
Androgen Excess (Subjective or Objective)
Ovarian Cysts Present on Ultrasound
Signs & Symptoms
Symptoms vary from woman to woman and can include:
- Irregular periods (>35 days), or no period
- Hirsutism (abnormal hair growth, typically on the upper lip, chin, around the nipples, and/or along the lower abdomen)
- Acne or thinning of hair
- Weight gain
- Low energy
- Infertility
Lab Testing & Imaging
Lab tests will include testosterone, FSH, thyroid, prolactin, and others to rule in PCOS and rule out other conditions that can present with similar symptoms.
A pelvic ultrasound will show if ovarian cysts are present.
Associated Health Conditions
If left untreated, PCOS can lead to other health conditions including:
- Endometrial hyperplasia/endometrial cancer
- Metabolic syndrome
- Cardiovascular disorders like high blood pressure and high cholesterol
- Sleep apnea
- Chronic inflammation
- Nonalcoholic fatty liver disease
Treatment Options
Treatment varies depending on the person and their health goals. A treatment plan may include: