PCOS Specialists
Polycystic ovary syndrome (PCOS) is one of the most common reproductive health issues in the United States, affecting at least 5 million women in the reproductive age group.
The gynecologists at Maiden Lane Medical diagnose PCOS and offer personalized treatment plans to manage your symptoms and protect your fertility. Call the practice or schedule a consultation online if you have any PCOS symptoms.
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What is polycystic ovary syndrome?
Polycystic Ovary Syndrome
Polycystic ovary syndrome is a reproductive health issue caused by an imbalance in reproductive hormone including:
- Estrogen
- Progesterone levels
- Follicle-stimulating hormone
- Luteinizing hormone
- Sex hormone-binding globulin (SHBG)
- Androgens (male hormones)
The hormonal imbalance causes irregular ovulation and menstrual cycles. For example, the egg may not develop normally or may not be released during the ovulation stage of your menstrual cycle.
Irregular periods, including infrequent periods or heavy bleeding, are just one of the signs of polycystic ovary syndrome. Polycystic ovaries can also cause symptoms, including:
- Excess hair growth on the face or other parts of the body
- Acne
- Hair loss or thinning on your scalp
- Weight gain and difficulty reducing body weight
- Darkening of the skin in the groin, underneath the breasts, or in the creases of the neck
- Skin tags
As PCOS interferes with egg production and normal ovulation, it is a leading cause of infertility in women.
What is the main cause of polycystic ovary syndrome?
Physicians, clinical endocrinologists, and medical researchers are still studying the causes of PCOS. While a single cause hasn’t been identified, there are several potential contributing factors. As mentioned, hormonal imbalances contribute to the condition.
Many women with PCOS have an androgen excess that interferes with the other sex hormones necessary for normal menstrual periods. Additionally, high insulin levels caused by diabetes or insulin resistance can lead to high androgens and suppressed female sex hormones.
Women with PCOS also tend to have chronic low-grade inflammation, which can interfere with hormone production and other body functions.
You may have an increased risk of developing polycystic ovary syndrome if you have a family history of the condition, are overweight, or have diabetes or another endocrine disorder.
Have more questions?
How do you know if you have polycystic ovary syndrome?
Abnormal periods have many potential causes. Therefore, the only way to know if you have polycystic ovary syndrome is to schedule a consultation with your gynecologist for an exam and testing.
How do they test you for polycystic ovary syndrome?
Your doctor looks for two of three diagnostic criteria: hyper androgens, ovulatory dysfunction, and polycystic ovaries. Unfortunately, there is no single test for PCOS. In addition to reviewing your symptoms and performing a pelvic exam, they may order a pelvic ultrasound and blood tests to measure your hormones.
A pelvic ultrasound creates an image of your ovaries, which can show if they have abnormal cysts or follicles. The blood test can measure hormone levels, revealing abnormally high androgen levels or other hormone imbalances that could contribute to your symptoms.
How is PCOS treated?
Treating PCOS requires a highly personalized approach. Your doctor recommends treatments based on your symptoms, health history, and other needs. For example, if you want to get pregnant, your physician may prescribe drugs to induce ovulation or suggest another procedure to remove ovarian cysts or androgen-producing tissue.
However, if you aren’t planning on getting pregnant at the moment, your treatment of polycystic ovary syndrome may include hormonal birth control to regulate your periods. Hormonal contraceptives may also reduce acne and body hair growth.
Depending on your specific needs, your doctor might suggest insulin-sensitizing medicine like Metformin to increase your insulin sensitivity or medications to block androgens.
You might also benefit from lifestyle changes to support weight loss. For example, your body mass index and diet can affect hormone production, contributing to PCOS and other health issues such as high blood pressure, diabetes, metabolic syndrome, and heart disease.
Can I still get pregnant if I have a PCOS diagnosis?
While PCOS can make it more challenging to get pregnant, some women with the condition can conceive with the help of ovulation-stimulating drugs. In some cases, you may need to consider assisted reproductive treatments such as in vitro fertilization.
If you’ve been trying to get pregnant for a year without success, talk to your gynecologist to find out what’s causing your fertility issues and find the right treatment.
Women's Health Specialists
Related Services
- Abnormal Pap
- Abnormal Periods
- Abnormal Uterine Bleeding
- Annual Gyn Exam
- Colposcopy
- Dense Breasts
- Dysmenorrhea
- Endometrial Polyps
- Fibroids
- Gynecology
- Hpv
- Mammogram FAQs
- Menopause Management
- Obgyn
- Ovarian Cysts
- Painful Sex
- Pelvic Pain
- Polycystic Ovary Syndrome
- Preparing for a Mammogram
- Uterine Prolapse
- Vaginal Infections
Don't know which doctor to choose? Let us help you.
STEPHANIE L.
Our doctors who provide this service
Emily Blanton, MD
Focused Practice Designation in Minimally Invasive Gynecologic Surgery
Janette Davison, MD
Focused Practice Designation in Minimally Invasive Gynecologic Surgery
Kenneth A. Levey, MD MPH FACOG FACS
Focused Practice Designation in Minimally Invasive Gynecologic Surgery
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