More Than A Missed Period – Signs of PCOS

Heartland Women's GroupThank you to Heartland Women’s Group Gynecology and Obstetrics Services for sponsoring this post and to Dr. Lowden for sharing her expertise with our community of moms.

Irregular periods. Acne. Uncontrolled hair growth. Are these unpleasant reminders of puberty? For many grown women, these are signs of polycystic ovary syndrome, or PCOS, a disorder of the reproductive endocrinology system that affects nearly 10 percent of all women.

PCOS can be caused by any number of factors, such as excess insulin, which can create an imbalance of hormones and impair ovulation, inflammation of the white blood cells, or heredity.

What are the symptoms of PCOS?

Doctors typically diagnose PCOS if a woman has at least two of the following:

  • Irregular periods, such as menstrual cycles that last longer than 35 days, fewer than eight menstrual cycles a year, failure to menstruate for at least four months, or prolonged periods.
  • Excess androgens (male hormones that cause facial and body hair, acne and male-pattern baldness).
  • Polycystic ovaries (enlarged ovaries that contain small collections of fluid called follicles).

A physician might also perform other tests and exams:

  •  Pelvic exam
  • Blood tests, to measure the levels of hormones
  • Ultrasounds to check the lining of the uterus and appearance of the ovaries

How is PCOS treated?

Most treatment for PCOS focuses on managing each symptom. Early treatment for PCOS can also reduce the risk of related complications, such as type 2 diabetes, infertility, sleep apnea and heart disease.

Generally, the first step to control PCOS is a weight-loss program focusing on low-calorie foods and moderate exercise. High-carbohydrate foods, especially, can increase insulin levels and exacerbate PCOS symptoms. Stick with low-carb, high-fiber foods such as whole-grains, beans and brown rice.

A doctor may prescribe medication to kick-start and regulate the menstrual cycle using birth control pills, patches or vaginal rings that contain both estrogen and progestin (to decrease androgen production).

Most importantly, it’s vital for women with PCOS to maintain a healthy weight and active lifestyle, even during conception and pregnancy.

Treatment and Support for PCOS Are Key

Because polycystic ovary syndrome can affect a woman’s appearance and fertility, it may also cause symptoms of depression or anxiety. Treatment and support groups can help with these concerns. Online and in-person communities along with physician support can give women help and strength.

** This blog post was written to serve as guidance on women’s health, and should not be taken as concrete medical advice. The views above  do not reflect the views of Heartland Women’s Group or HCA. As with any medical questions or concerns, please make an appointment with your physician to discuss your own personal situation and treatment options.

Dr. Dawne LowdenDawne A. Lowden, MD is an obstetrician and gynecologist with Heartland Women’s Group. When she’s not serving in her role on the Provider Care Board of Directors and medical co-director of the Wesley Labor and Delivery Committee, she spends time with her husband and two children and participates in team training for the Lymphoma/Leukemia Society. For more information or to schedule an appointment, please call 316.858.7100 or visit www.heartlandwomensgroup.com.Heartland Women's Group

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