The Marion Gluck Clinic

Polycystic Ovaries Syndrome (PCOS)

PCOS is a condition which results from a hormonal imbalance associated with irregular ovulation and menstruation, infertility, obesity and hirsutism. It is a condition which is suffered by many women around the world, however, what many people aren’t aware of is that ovarian cysts are a symptom of the disease; they are not the root cause. PCOS is the most common cause of anovulatory infertility, which means that infertility is the result of the absence of ovulation. It often goes unnoticed until a woman tries to get pregnant.

What Causes Polycystic Ovaries Syndrome?

In recent years research shows that PCOS is a multisystem disorder and that the primary problem is the poor regulation of hormones by the hypothalamus (part of the brain which regulates everything from your hormones to your body temperature).

This means that not only is PCOS a gynaecological disorder, it is considered a multifactorial disorder with various genetic, endocrine and environmental abnormalities. 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. Additionally, PCOS patients have a higher risk of cardiovascular disease and hypertension.

What Are The Symptoms of PCOS?

Symptoms of PCOS can include these symptoms, however, someone does not need to necessarily display all symptoms to be diagnosed with the condition. If you are experiencing any or all of these it is advised that you seek medical advice from your gynaecologist or your GP.

  • Ovarian cysts
  • Irregular or no periods
  • Heavy and prolonged periods
  • Hirsutism (male-type body hair)
  • Androgenic alopecia (hair loss)
  • Acne
  • Obesity
  • Pelvic pain
  • Fatigue and low energy
  • Mood changes – PCOS can increase the likelihood of mood swings, depression, and anxiety

How We Treat Polycystic Ovarian Syndrome

Many people are diagnosed when they are young and carry it with them in the belief that it is an untreatable condition, as they don’t realise that it is linked to hormonal imbalances. However, PCOS is not a diagnosis for life, and many of the symptoms are reversible with the right treatment plan.

At the Marion Gluck Clinic we treat PCOS with a combination of nutritional advice, lifestyle changes, medication such as Metformin (to improve insulin sensitivity and control blood sugar levels) and Spironolactone (anti-androgen therapy for symptoms such as excess hair) and hormonal balancing with estrogen and progesterone can improve many of the symptoms.

We closely monitor their hormonal profile, supported by pelvic ultrasound and relevant blood tests, in order to fully assess a patient’s needs. The condition can then be treated accordingly with a specific treatment plan for each individual. Everyone is unique and therefore the solution lies in a personalised approach and there is not a one size fits all treatment plan for PCOS.

 

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