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It can occur in girls as young as 11 years old.Return to topWhat causes PCOS?The cause of PCOS is unknown.
Women with PCOS are more likely to have a mother or sister with PCOS.A main underlying problem with PCOS is a hormonal imbalance. High levels of these hormones affect the development and release of eggs during ovulation.Researchers also think insulin may be linked to PCOS. Insulin is a hormone that controls the change of sugar, starches, and other food into energy for the body to use or store.
Many women with PCOS have too much insulin in their bodies because they have problems using it. Some of the symptoms of PCOS include:Infertility (not able to get pregnant) because of not ovulating.
When the egg matures, the follicle breaks open, the egg is released, and the egg travels through the fallopian tube to the uterus (womb) for fertilization. This is called ovulation.In women with PCOS, the ovary doesn't make all of the hormones it needs for an egg to fully mature. Plus, the ovaries make male hormones, which also prevent ovulation.Normal ovary and polycystic ovary Return to topDoes PCOS change at menopause?Yes and no.
So, many symptoms may persist even though ovarian function and hormone levels change as a woman nears menopause. For instance, excessive hair growth continues, and male-pattern baldness or thinning hair gets worse after menopause. Also, the risks of complications (health problems) from PCOS, such as heart attack, stroke, and diabetes, increase as a woman gets older.Return to topHow do I know if I have PCOS?There is no single test to diagnose PCOS.
Your doctor will take the following steps to find out if you have PCOS or if something else is causing your symptoms.Medical history.
Your doctor will ask about your menstrual periods, weight changes, and other symptoms.Physical exam.
Your doctor will want to measure your blood pressure, body mass index (BMI), and waist size. You should try to allow the natural hair to grow for a few days before the visit.Pelvic exam.
Your doctor might want to check to see if your ovaries are enlarged or swollen by the increased number of small cysts.Blood tests.
Your doctor may check the androgen hormone and glucose (sugar) levels in your blood.Vaginal ultrasound (sonogram).


It might be used to examine your ovaries for cysts and check the endometrium (en-do-MEE-tree-uhm) (lining of the womb).
This lining may become thicker if your periods are not regular.Return to topHow is PCOS treated?Because there is no cure for PCOS, it needs to be managed to prevent problems.
Treatment goals are based on your symptoms, whether or not you want to become pregnant, and lowering your chances of getting heart disease and diabetes. You can help manage your PCOS by eating healthy and exercising to keep your weight at a healthy level. Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular.Birth control pills. Women may also think about taking a pill that only has progesterone (proh-JES-tuh-rohn), like Provera, to control the menstrual cycle and reduce the risk of endometrial cancer (See Does PCOS put women at risk for other health problems?).
It has also been found to help with PCOS symptoms, though it isn't approved by the U.S Food and Drug Administration (FDA) for this use. Metformin affects the way insulin controls blood glucose (sugar) and lowers testosterone production. It slows the growth of abnormal hair and, after a few months of use, may help ovulation to return. Recent research has shown metformin to have other positive effects, such as decreased body mass and improved cholesterol levels.
Even so, other reasons for infertility in both the woman and man should be ruled out before fertility medications are used. The doctor makes a very small cut above or below the navel (belly button) and inserts a small tool that acts like a telescope into the abdomen (stomach). The doctor then punctures the ovary with a small needle carrying an electric current to destroy a small portion of the ovary. This treatment doesn't help with loss of scalp hair or increased hair growth on other parts of the body.Medicine for increased hair growth or extra male hormones. Spironolactone (speer-on-oh-LAK-tone) (Aldactone), first used to treat high blood pressure, has been shown to reduce the impact of male hormones on hair growth in women. Finasteride (fin-AST-uhr-yd) (Propecia), a medicine taken by men for hair loss, has the same effect.
Some research has shown that bariatric (weight loss) surgery may be effective in resolving PCOS in morbidly obese women.
Morbid obesity means having a BMI of more than 40, or a BMI of 35 to 40 with an obesity-related disease.


Similar drugs without the same side effect are being tested in small trials.Researchers continue to search for new ways to treat PCOS. Most of the time, these problems occur in multiple-birth babies (twins, triplets).Researchers are studying whether the diabetes medicine metformin can prevent or reduce the chances of having problems while pregnant. Metformin also lowers male hormone levels and limits weight gain in women who are obese when they get pregnant.Metformin is an FDA pregnancy category B drug.
But, there have only been a few studies of metformin use in pregnant women to confirm its safety.
Talk to your doctor about taking metformin if you are pregnant or are trying to become pregnant. Talk with your doctor about metformin use if you are a nursing mother.Return to topDoes PCOS put women at risk for other health problems?Women with PCOS have greater chances of developing several serious health conditions, including life-threatening diseases. This is when breathing stops for short periods of time during sleep.Women with PCOS may also develop anxiety and depression. It is important to talk to your doctor about treatment for these mental health conditions.Women with PCOS are also at risk for endometrial cancer.
Irregular menstrual periods and the lack of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Progesterone causes the endometrium (lining of the womb) to shed each month as a menstrual period. Without progesterone, the endometrium becomes thick, which can cause heavy or irregular bleeding. Over time, this can lead to endometrial hyperplasia, when the lining grows too much, and cancer. What can I do to prevent complications?If you have PCOS, get your symptoms under control at an earlier age to help reduce your chances of having complications like diabetes and heart disease. Talk to your doctor about treating all your symptoms, rather than focusing on just one aspect of your PCOS, such as problems getting pregnant.
You may also want to look for support groups in your area or online to help you deal with the emotional effects of PCOS.



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