PCOS results from a hormonal imbalance that is associated with irregular ovulation and menstruation, infertility, obesity and hirsutism. It is characterised by multiple cysts in the ovaries. However, these cysts are a symptom of the disease; they are not the cause.
Recent insights show a multisystem disorder, with the primary problem being poor regulation of hormones by the hypothalamus (part of the brain).
PCOS is not only a gynaecological disorder, it is also a metabolic disorder and may be associated with insulin resistance syndrome. This condition is associated with poor sugar metabolism and weight gain and is a precursor to type 2 diabetes.
Symptoms of PCOS can include:
- Ovarian cysts
- Irregular or no periods
- Heavy and prolonged periods
- Hirsutism (male-type body hair)
- Androgenic alopecia (male-pattern hair loss)
How do we treat polycystic ovarian syndrome (PCOS)?
At the Marion Gluck Clinic we have many patients who have been diagnosed with polycystic ovaries, especially when they were young. They carry this diagnosis with them until they consider the link to hormonal balance. PCOS is not a diagnosis for life, and many of the symptoms are reversible when on the right treatment plan.
A combination of nutritional advice, lifestyle changes, medication such as Metformin and Spironolactone (anti-androgen therapy) and hormonal balancing with oestrogen and progesterone can improve many of the symptoms of PCOS.
We closely monitor the hormonal profiles of our patients, supported by pelvic ultrasound and relevant blood tests, to fully assess their needs. We can then recommend a tailor-made treatment regime for each individual patient. Everyone is unique and therefore the solution lies in a personalised approach to each patient’s concerns and requirements.