Polycystic ovarian syndrome (PCOS) is a common hormonal condition that affects up to 1 in 5 girls and women in their reproductive years. It may cause disruptions to the menstrual cycle, skin and hair changes, as well as cysts on the ovaries.
It is one of the leading causes of infertility, yet many women don't know they have it — up to 70% of women with PCOS remain undiagnosed.
PCOS can’t be cured, but if you have it you and your doctor can manage many of the symptoms.
What causes PCOS?
Women with PCOS produce high levels of male hormones from their ovaries. These male hormones affect the menstrual cycle and many other parts of the body.
Women with PCOS often have enlarged ovaries. Their ovaries may have many cysts on them, which is where the name comes from.
The cause of PCOS is unknown, but there appear to be connections with family history, insulin resistance and lifestyle or environment.
Immediate female relatives (daughters or sisters) of women with PCOS have as much as a 1 in 2 chance of having PCOS. Type 2 diabetes is also common in families of those with PCOS.
Women with PCOS can have a wide range of symptoms. Not every woman with PCOS will have every symptom, and each woman will have their own individual experience.
If you think you might have PCOS, it is important you see a doctor. An early diagnosis can help manage the symptoms of PCOS and reduce the potential long-term health risks.
PCOS symptoms include:
- excess hair growing on your face, chest, stomach or back (hirsutism)
- thinning hair or baldness (alopecia)
- irregular periods or no periods at all
- abnormal vaginal bleeding
- difficulty falling pregnant or not falling pregnant at all
- easy weight gain
- swollen belly
- mental health problems such as depression and anxiety
Your doctor may also look for:
Women with PCOS have a higher risk than other women of developing health problems such as:
The diagnosis of PCOS is usually difficult because there is a wide range of symptoms and you don't have to have all of them to be diagnosed with the condition.
There isn't a simple test that rules it in or out.
You should see your doctor if you are feeling unwell and have any of the symptoms that could be caused by PCOS.
Your doctor will talk to you to try to understand your symptoms. He or she will examine you. You may be asked to have:
- blood tests to check hormone levels (such as testosterone)
- blood tests to check cholesterol and glucose levels in the blood
- an ultrasound scan to look at the ovaries and check for the presence of multiple cysts (fluid-filled sacs)
Managing and treating PCOS
Treatment depends on the main problems you have. It can involve medicines, cosmetic treatments and having a healthy lifestyle.
Exercise can improve your mental health. Losing even a small amount of weight can help regulate your periods, improve your chance of becoming pregnant and reduce your risk of diabetes and heart disease.
There are a number of different medical therapies to help manage PCOS symptoms, such as period problems, fertility, excess hair, acne and weight gain. These therapies include the oral contraceptive pill, insulin-sensitising drugs, hormone therapies, weight loss drugs, antidepressants and anti-anxiety drugs.
It's important to have regular health checks because of your increased risk of developing health problems later in life.
Talk to your doctor if you need help to control your weight. Your doctor can refer you to the right health professional for your situation, such as a dietitian or exercise specialist.
For more information on PCOS visit the Jean Hailes for Women's Health website or call 1800 JEAN HAILES (532 642).
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Last reviewed: October 2018