What is Polycystic Ovary Syndrome?

The name, Polycystic Ovary Syndrome or PCOS, may give the wrong impression as in reality, PCOS has nothing to do with ovarian ‘cysts’ but rather refer to an excessive number of small ovarian follicles which appear cystic on ultrasounds. The follicles don’t fully develop to release eggs, which in turn means the woman does not ovulate. As a result, many women with PCOS can experience infertility.

The complexity of PCOS can make reaching out for help more difficult and overwhelming for many women. However, by meeting with a doctor that you trust and feel comfortable with you’ll be set up for higher chances of a successful treatment at all stages of your life.

How Polycystic Ovary Syndrome can influence fertility

PCOS is the most common cause of irregular menstrual cycles – affecting 8 to 13% of women in their reproductive age.

Irregular cycles and lack of ovulation is the main reason for subfertility in this condition. The good news is this is something which can be addressed and treated.

PCOS symptoms

PCOS is a multi-system disorder and common concerns are:
• Fertility and reproductive health
• Metabolic
• Psychological
• Skin manifestations due to excessive androgen effect
Unfortunately, we do not yet know the precise cause of PCOS. Research suggests that genetics plays a big part, and lifestyle and weight changes are often associated with the expression of symptoms.

 

There is as yet no cure for PCOS, but I have had many opportunities to help women who have been diagnosed with PCOS improve and live their best quality of life. Treatment should start at addressing lifestyle changes – physical activity and diet. Women who are overweight should aim to lose around 5% of their body weight to restore regular periods and ovulation again.

Some of the ways PCOS can be treated and managed include:
Lifestyle changes including diet, physical activity and weight management. A diet high in fibre, low GI, has a carb and moderate protein intake including smaller, more frequent portions are recommended for women with PCOS – with research showing that 5-10% of weight loss can improve the androgen symptoms as well as ovulation and fertility.

For women at a more mature age with PCOS (over the age of 35), plus those with a high BMI, treating and managing PCOS may prove to be more challenging. This is why for younger women with PCOS, it is advised that if they plan to have a family in the future, egg freezing is a suitable option.

How is PCOS treated?

Where to get help

If you believe that you may have endometriosis or are suffering from similar symptoms of endometriosis, my team and I are here to provide you with the best level of patient care and support.