Polycystic ovary syndrome (PCOS) – some useful tips
PCO-syndrome (PCOS) is a complex entity (see: https://en.wikipedia.org/wiki/Polycystic_ovary_syndrome).
which conditions women suffer most (e.g. weight gain, menstrual irregularities,
hirsutism, infertility, a combination...), PCO - syndrome should be treated accordingly (sometimes only
modest changes are necessary or achievable, sometimes it takes time and effort to achieve changes).
And remember: there is no “one fit all solution”.
Some useful tips for symptoms, which I
am often confronted with:
Often women present with some sort of hyperandrogenism or hirsutism
- Check for other signs of PCO-syndrome (should be seen on ultrasound and with cycle-monitoring next to the lab-results, which might also be normal!). Be aware: hyperandrogenism/ hirsutism can also have other causes e.g. benign tumors of the adrenal glands, stress/ cushing-syndrom, thyroid dysfunction to mention but a few.
If in combination with metabolic syndrome (e.g. insulin resistance and/ or obesity)
- First step: try to lose weight (http://leitfaden.org/stories/95/simple-rules-on-losing-weight-and-staying-slim)
In case of menstrual irregularities (often
in combination with some sort of hirsutism / acne)
- Oral contraceptives with cyproterone acetate (CPA) (e.g. Diane™-35, Estelle™ 35, Ginet-84™) might be worth a try. Or drospirenone (Yasmin™, Yaz™) / dienogest (Valette™). If still not sufficient, maybe switching to Androcur™, Procur™, Siterone™ - maybe even in combination with Aldactone™, Spirotone™, Spiractin™. Also a DNA-testing might be of help to further evaluate the situation (also for choosing the right diet).
In case of infertility / whish to have a child
- Look out for a specialsit in reproductive medicine.There are various options to help, again depending on the presentation of the disease as well as on the age of the woman.
Whatever symptoms you have: please
have a thorough examination by a specialist and then start individualized
therapy depending on the cause and symptoms.
Remember: sometimes only small adaptions
are required and helpful. Sometimes only a relieve of symptoms is possible but
no true cure. And be patient, work on it!