polycystic-ovarian-syndrome

Polycystic Ovary Syndrome


What is PCOs?

It is a genetic condition and the exact cause up till now is still unknown. It appears to be related to insulin resistance and disturbance of androgenic hormone levels and lipid factors.


What are the problems associated with PCOs?

These can be related to infertility, menstrual irregularities, long or infrequent periods and occasionally heavy periods. Hirsutism, facial, chest and abdomen sites. Acne and obesity.


How to diagnose PCO?

At London Obstetrics & Gynaecology Clinic a detailed history and examination to include signs and symptoms. Pelvic ultrasound scan will be performed this will give possible indication of PCOs The ovaries will appear large and multiple small cysts will be scattered at the ovarian tissue. Further biochemical and hormonal blood rests will be performed as androgen levels, antimullarian hormone (AMH) and others all to confirm diagnosis.


What are the risks of PCOS?

Diabetes (Type 2) can develop. Endometrial hyperplasia and increased risk of endometrial cancer.


What is the treatment of PCOS?

Treatment will depend on the symptoms, age, severity of the condition, desire for pregnancy and associated health conditions.

Modalites of treatment include:

  • weight loss and diet control
  • oral contraceptive pills to treat period irregularities, hirsutism and acne
  • Metformin (Glucophage) to treat diabetes as well as decreasing androgen levels and enhance ovulation
  • Surgery - laparoscopic ovarian drilling helps in decreasing polycystic changes and can improve infertility, hirsutism and acne. Mechanism and long term effects have not been significantly substantiated.

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