Polycystic Ovary Syndrome (PCOS): Symptoms and Management

Polycystic ovary syndrome (PCOS) is a common hormonal condition characterised by polycystic ovaries, hyperandrogenism, irregular periods and metabolic abnormalities, including insulin resistance, obesity, dyslipidemia and an increased risk of cardiovascular disease. ​(Zeng, 2020)

The imbalance in sex hormones can lead to a range of symptoms both physical and mental, which may help explain why so many women are undiagnosed as many of the symptoms could fall under a different diagnosis including fibroids, polyps or pelvic inflammatory disease.

There is also no specific test to diagnose PCOS, rather three sets of criteria have been developed for diagnosis which include:

  • Ovulation dysfunction which is indicated by irregular periods

  • Signs of hyperandrogenism which include hirsutism, acne or elevated free testosterone.

  • An ultrasound scan showing polycystic ovaries. (Sanchez-Garrido, 2020|)

A woman would need to meet two out of three of the criteria to have a diagnosis which means it is possible to have PCOS without there being cysts on the ovaries.

Given the complexity and range of symptoms, the exact cause of PCOS is not clear, but there are common environmental and genetic factors that contribute to the development of the condition.

Click here for the full blog where I share the common drivers of PCOS as well as diet, lifestyle and nutrient support.

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