What we treat

Polycystic Ovarian Syndrome (PCOS)

Polycystic ovarian syndrome is a condition which affects ovarian function. It is possible for women to have cysts on their ovaries (polycystic ovaries) but not have polycystic ovarian syndrome.

PCOS is diagnosed when a woman has at least 2 of the following features:
1-Irregular periods- this indicates that the ovaries are not ovulating regularly.

2- Cysts on the ovaries- this is termed polycystic ovaries where there are multiple cysts seen on the ovaries on an ultrasound scan.

3- Androgen excess- this means high levels of testosterone in the body. This can cause symptoms such as excessive facial hair (hirsutism).

Symptoms

Irregular/no periods Excessive hair growth (face,neck,back) Weight gain/ Obesity
Depression Acne Greasy skin
Thinning hair/Hair loss Fertility problems Insulin resistance

PCOS is a risk factor for other conditions such as obesity, elevated cholesterol levels and insulin resistance which can lead to diabetes. There is a genetic component to PCOS which means that it often runs in families. Stress has been shown to be a risk factor for PCOS also.

Management options

Things you can do at home Conventional approach Our approach at LHC
– Healthy diet (low sugar and carbohydrate)
– Stress reduction (yoga and meditation)
– Exercise- this will also help with weight loss
– Weight loss
– Oral contraceptive pill
– Drugs such as spironolactone can be used to treat excess androgen symptoms
– Laparoscopic ovarian drilling (LOD)
– We prescribe bio-identical progesterone to help regulate cycles and counteract oestrogen
– Nutritional advice and supplements to optimize hormones
– Weight loss and exercise advice