PCOS Management
Polycystic Ovary Syndrome (PCOS) is a common hormonal imbalance that affects women of reproductive age. It often presents with symptoms such as irregular menstrual cycles, excessive hair growth, acne, and challenges with fertility. The approach to managing PCOS varies depending on your health goals, particularly whether or not you're planning to conceive. Additionally, PCOS may increase your risk for conditions like type 2 diabetes and high blood pressure, making early diagnosis and proper care essential.
Recognizing the Symptoms of PCOS
PCOS manifests differently in each individual, but common signs include:
- Irregular or absent periods: Missed periods or heavy, inconsistent menstrual bleeding
- Unwanted hair growth: Excessive hair on the face, chest, abdomen, or back (hirsutism), affecting up to 70% of women with PCOS
- Persistent acne: Acne on the face, chest, or back that lingers beyond adolescence and is often difficult to treat
- Weight challenges: Difficulty managing weight, with up to 80% of those affected struggling with obesity
- Skin changes: Darkened patches in body folds like the neck, underarms, and groin (acanthosis nigricans)
- Ovarian cysts: Enlarged ovaries or multiple small cysts detected on ultrasound
How PCOS Is Diagnosed at Complete Women Care
Our medical team will begin by reviewing your symptoms, medical history, and conducting a physical examination. Additional diagnostic steps may include:
- Reviewing personal and family health history
- Measuring your weight and blood pressure
- Assessing physical signs such as acne, hair loss, hirsutism, and skin discoloration
- Pelvic examination to evaluate reproductive organs
- Blood tests to measure hormone levels and check for insulin resistance or glucose intolerance
- Pelvic ultrasound to examine the ovaries and uterine lining for abnormalities
Treatment Options for PCOS
Managing PCOS is a multi-faceted approach that includes lifestyle changes, medication, and in some cases, surgical intervention. Treatment goals focus on easing symptoms, regulating hormone levels, supporting fertility when needed, and lowering the risk of long-term complications such as heart disease and diabetes.
Lifestyle Changes
- Healthy Eating Habits: A diet rich in fiber, lean proteins, and whole foods—and low in sugar and refined carbs—can enhance insulin sensitivity and aid in weight control.
- Regular Exercise: Consistent physical activity such as cardio, strength training, or yoga supports weight loss, reduces insulin resistance, and boosts overall health.
- Weight Management: Reaching and maintaining a healthy weight can significantly improve symptoms like irregular cycles and insulin resistance.
- Quitting Smoking: For smokers, cessation is advised to reduce the risk of cardiovascular complications.
Medications
- Hormonal Contraceptives: Birth control pills containing estrogen and progestin can help regulate periods, reduce acne, and decrease excess hair growth.
- Anti-Androgens: Medications like spironolactone help block male hormones, reducing hair growth and improving skin condition.
- Metformin: Commonly used for diabetes, Metformin can also be helpful for women with PCOS by improving insulin function and menstrual regularity.
- Ovulation Induction Drugs: For women trying to get pregnant, medications like clomiphene citrate or letrozole can stimulate ovulation and improve fertility outcomes.
If you suspect you may have PCOS or are struggling with symptoms, reach out to Complete Women Care for a comprehensive evaluation and supportive treatment approach. Our team is here to help you take control of your health and live well with PCOS.