Everything You Need to Know About PCOS

As a gynecologist, I have seen so many women over the years struggling with Polycystic Ovary Syndrome (PCOS). Unfortunately, it often takes years for women to receive a proper diagnosis, leaving them feeling frustrated and confused. I wanted to create a blog post that would break it down for you guys to help inform you on how it affects the body and what you can do to treat it. Whether you suspect you may have PCOS or have already been diagnosed, I hope this information will help you better understand the condition and empower you to ask more questions about your health!

I’ve also made an entire YouTube video explaining everything you need to know, so if you prefer a video format, you can watch it HERE! I use great visuals/drawings to explain PCOS, so I definitely recommend checking out the video. But here’s the main info written out below!

What is PCOS?

PCOS is a hormonal disorder that impacts the ovaries, the small organs in a woman’s pelvis that produce eggs and hormones (and many other parts of the body; it’s not only about the ovaries!). In PCOS, the ovaries may develop small cysts and cause hormonal imbalances that can lead to various symptoms. PCOS can also look very different for everyone! Some may have the following symptoms while others don’t. So, always talk to your doctor and try not to compare your diagnosis to others!

Symptoms

1. Irregular Periods: Women with PCOS often experience irregular menstrual cycles.

2. Excess Androgen: Elevated levels of male hormones (androgens) can lead to acne, facial hair, and male pattern baldness.

3. Polycystic Ovaries: Small fluid-filled sacs may form on the ovaries.

What causes PCOS?

The exact cause of PCOS is not known (I know—so frustrating!), but factors such as genetics, insulin resistance, and inflammation may contribute.

How do we diagnose PCOS?

If you suspect PCOS, consult a healthcare professional. Diagnosis involves a physical exam, medical history review, and possibly blood tests or imaging. In the video above, I explain more about the Rotterdam Criteria.

Management and Treatment

Remember, treatment looks different for everyone! And it depends on what your ultimate goals are. Do you want to become pregnant? Is the acne really bothering you? Are the irregular periods the issue? Are you pre-diabetic? Because everyone experiences different symptoms, treatment is NOT one size fits all!

1. Lifestyle Changes: Regardless of what your goals are, adopting a healthy lifestyle with regular exercise and a balanced diet can help manage symptoms.

2. Medications: Your doctor may prescribe medications to regulate menstrual cycles, manage insulin levels, or address specific symptoms.

3. Fertility Concerns: If fertility is a concern, let your doctor know! You may not need to see a fertility specialist right away; it all depends on your symptoms and goals!

My Tips:

1. Healthy Eating: Focus on a balanced diet with whole foods, lean proteins, and complex carbohydrates.

2. Regular Exercise: Incorporate regular physical activity to help manage weight and improve overall health.

3. Stress Management: Practice stress-reducing techniques such as mindfulness, yoga, or meditation.

While PCOS can present challenges, it’s manageable with proper care. If you suspect PCOS or have concerns about your reproductive health, consult a healthcare professional for personalized advice and support.

Remember, you’re not alone, and understanding PCOS is the first step toward effectively managing it. If you have any specific questions on anything I talked about, feel free to drop them in the comments!

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