Polycystic ovary syndrome (PCOS) – some useful tips

PCO-syndrome (PCOS) is a complex entity (see: https://en.wikipedia.org/wiki/Polycystic_ovary_syndrome).

Depending on 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)

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!

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