Polycystic Ovary Syndrome (PCOS)
Polycystic ovary syndrome is one of the most common female endocrine disorders. PCOS is a complex, heterogeneous disorder of uncertain etiology, but there is strong evidence that it can to a large degree be classified as a genetic disease.
PCOS produces symptoms in approximately 5% to 10% of women of reproductive age (12–45 years old). It is thought to be one of the leading causes of female subfertility and the most frequent endocrine problem in women of reproductive age.
The principal features are lack of ovulation resulting in irregular menstruation, amenorrhea, ovulation-related infertility, and polycystic ovaries; excessive amounts or effects of androgenic (testosterone-like) hormones, resulting in acne and hirsutism; and Insulin Resistance (“Prediabetes”), often associated with Obesity, Type 2 Diabetes, and high cholesterol levels. The symptoms and severity of the syndrome vary greatly among affected women.
Treatment of Polycystic ovary syndrome
The treatment of Polycystic Ovary Syndrome is primarily aimed at identifying and addressing the underlying causes of this condition with the goal of normalizing the ovarian function and the glucose metabolism and prevention short and long term complications related to PCOS and Prediabetes. After an initial extensive review of your medical history and discussion of your treatment plan you will undergo a blood test that will rule out any other medical conditions that can mimic the symptoms of PCOS. You will then be instructed to follow a healthy diet and exercise program realistic for your lifestyle and physique. Any necessary medical treatment will be discussed with you and initiated and possibly modified and adjusted at your follow up appointments.
Prediabetes means that your blood sugar level is higher than normal, but it’s not yet high enough to be classified as type 2 diabetes. Still, without intervention, prediabetes is likely to become type 2 diabetes in 10 years or less. And, if you have prediabetes, the long-term damage of diabetes — especially to your heart and circulatory system — may already be starting.
There’s good news, however. Prediabetes can be an opportunity for you to improve your health, because progression from prediabetes to type 2 diabetes isn’t inevitable. With healthy lifestyle changes — such as eating healthy foods, including physical activity in your daily routine and maintaining a healthy weight — you may be able to bring your blood sugar level back to normal.
The treatment of prediabetes may vary from person to person. After a detailed evaluation and interview you will start an individualized program that is most realistic for you and your health goals.