PCOS Recognition & Treatment

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Polycystic Ovary Syndrome (PCOS) is a complex and often misunderstood hormonal disorder affecting individuals of reproductive age. Beyond irregular menstrual cycles, PCOS can lead to a range of complications, from fertility challenges to metabolic and emotional health issues.

Recognizing the symptoms and seeking appropriate treatment is essential for managing this condition effectively.


What is PCOS?

Visual representation of Polycystic Ovary Syndrome (PCOS) symptoms

PCOS, or Polycystic Ovary Syndrome, is a hormonal disorder that disrupts the normal functioning of the ovaries. This condition is characterized by:

  • Irregular Menstrual Cycles: Individuals with PCOS may experience infrequent or prolonged periods, or no menstruation at all.

  • Excess Androgens: High levels of androgen hormones (hyperandrogenism) can lead to physical symptoms such as acne, hair thinning, and excess body hair (hirsutism).

  • Polycystic Ovaries: Ovaries often become enlarged and develop multiple small follicles that surround the egg, affecting regular ovulation.

The lack of regular ovulation can make it difficult for individuals with PCOS to conceive, and hormonal imbalances can result in additional physical and emotional symptoms.


Symptoms of PCOS

Unexplained weight gain, a common symptom of Polycystic Ovary Syndrome (PCOS).

Some of the most common signs and symptoms of PCOS include:

  • Irregular or absent menstrual cycles.

  • Unexplained weight gain or difficulty losing weight.

  • Excess facial or body hair growth (hirsutism).

  • Acne or oily skin that persists despite treatment.

  • Thinning hair or male-pattern baldness.

  • Difficulty conceiving or infertility.

While these symptoms may vary in severity, addressing them early can help manage the condition and reduce the risk of complications.


Potential Complications of PCOS

PCOS is more than a reproductive health issue; it can significantly impact overall well-being and increase the risk of other health concerns:

Infertility risks associated with Polycystic Ovary Syndrome (PCOS) highlighted on a medical form.

1. Infertility and Miscarriage

PCOS is one of the leading causes of infertility due to irregular ovulation. Additionally, those with PCOS are at a higher risk for pregnancy complications, including miscarriage.

2. Cardiometabolic Risks

Individuals with PCOS have a higher likelihood of developing insulin resistance, high blood pressure, and elevated cholesterol levels, which increase the risk of type 2 diabetes and heart disease.

3. Endometrial Cancer

Irregular ovulation can lead to the thickening of the uterine lining, increasing the risk of endometrial cancer.

4. Mood Disorders

Mood disorders such as anxiety and depression linked to hormonal imbalances in Polycystic Ovary Syndrome (PCOS).

Due to hormonal imbalances, individuals with PCOS may experience higher rates of anxiety, depression, and other mood disorders.

These complications highlight the importance of early diagnosis, ongoing management, and proactive healthcare.


How is PCOS Diagnosed?

Diagnosing PCOS typically involves:

  • Medical History: Reviewing menstrual cycles, symptoms, and family history.

  • Physical Exam: Checking for signs of excess androgen, such as hirsutism or acne.

  • Blood Tests: Measuring hormone levels, blood sugar, and cholesterol.

  • Ultrasound: Examining the ovaries for multiple follicles and assessing the uterine lining.

Accurate diagnosis allows healthcare providers to tailor treatment to each individual’s needs.


Treatment Options for PCOS

Treating PCOS requires a holistic and personalized approach, focusing on the root causes rather than just managing symptoms.

1. Lowering Androgens

High androgen levels contribute to many PCOS symptoms, including acne, hair loss, and irregular cycles. Herbal remedies and supplements can help regulate hormone levels and promote regular ovulation.

2. Managing Insulin Resistance

A large percentage of individuals with PCOS also experience insulin resistance, which can exacerbate symptoms. Diagnostic testing can identify insulin resistance, and treatment often includes:

  • Nutritional Changes: Adopting a balanced diet low in refined carbohydrates and high in whole, nutrient-dense foods.

  • Exercise: Regular physical activity helps improve insulin sensitivity and supports weight management.

3. Medications

In some cases, medications like hormonal birth control may be recommended to regulate menstrual cycles or address hyperandrogenism. Fertility medications may also be prescribed for those trying to conceive.


How SageMED Can Help

At SageMED, Dr. Maiko Ochi specializes in the collaborative treatment of PCOS. She focuses on identifying the root factors behind PCOS symptoms and tailoring treatments to the individual. Dr. Ochi’s two-fold approach includes:

  • Hormonal Balance: Using herbs and supplements to lower androgen levels and promote regular ovulation.

  • Insulin Resistance Management: Creating customized nutrition and exercise plans based on diagnostic testing results.

This patient-centered approach not only addresses symptoms but also improves overall health and quality of life.


When to Seek Help

If you suspect you may have PCOS or are struggling with its symptoms, don’t wait to seek help. Early intervention can prevent complications and improve your chances of managing the condition effectively.

Schedule an appointment with Dr. Ochi at SageMED to begin your journey toward better health.


Conclusion

PCOS is a complex condition that affects more than just reproductive health—it can impact emotional well-being, metabolic health, and long-term quality of life. By recognizing the symptoms early and taking a proactive approach to treatment, individuals with PCOS can lead healthier, more balanced lives.

At SageMED, we’re here to support you with a personalized, holistic plan to manage your PCOS and its complications.

Take the first step toward better health—schedule a consultation today.


REFERENCES

Mayo Foundation for Medical Education and Research. (2020, October 3). Polycystic ovary syndrome (PCOS). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/pcos/symptoms-causes/syc-20353439.


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