Your guide to

Polycystic Ovarian Syndrome (PCOS)

Polycystic Ovarian Syndrome (PCOS) is a hormonal condition which affects approximately one in ten who are of reproductive age.

‘Polycystic’ means many cysts. Those with PCOS typically have many partially formed follicles, containing an egg. These eggs rarely reach maturity or are able to be fertilised.

The exact cause of PCOS is unknown; however, it is believed to be an insulin resistance, which drives this condition. Despite up to one third of people experiencing ‘polycystic’ ovaries on ultrasound, there are other key symptoms of PCOS which are key to being diagnosed.

These symptoms may include: an irregular menstrual cycle, excessive facial or body hair, hair loss, acne, reduced fertility, as well as depression or anxiety.

So, what is PCOS?

Polycystic ovarian syndrome (PCOS) is a common hormonal condition that affects up to 1 in 10 women+plus* in their reproductive years. It may cause disruptions to the menstrual cycle, skin and hair changes, as well as cysts on the ovaries.

It is one of the leading causes of infertility, yet many people don't know they have it — many females with PCOS are not diagnosed.

PCOS can’t be cured, but if you have it, you and your doctor can manage many of the symptoms.

Symptoms of PCOS

  • Excess or thinning hair

    Excess hair growing on your face, chest, stomach or back also possible thinning hair or baldness.

  • Periods

    Irregular periods or no periods at all.

  • Acne

    Acne on your face and/or body.

  • Fatigue

    Persistent fatigue that leaves you feeling exhausted, even with rest, is a common but often overlooked.

  • Fertility concerns

    Difficulty falling pregnant or not falling pregnant at all.

  • Diabetes & Other Health Conditions

    PCOS can increase the risk of developing a range of other health conditions.

The diagnosis of PCOS is often difficult because there is a wide range of symptoms, and you don’t need to have all of them to be diagnosed with the condition.

There isn't a simple test that rules PCOS in or out.

You should see your doctor if you are feeling unwell and have any of the symptoms that could be caused by PCOS.

Your doctor will talk to you to try to understand your symptoms. They might want to examine you.

Diagnosis

You may be asked to have:

  • blood tests to check your hormones (such as testosterone), cholesterol and glucose levels in the blood.

  • an ultrasound scan to look at your ovaries and check for the presence of multiple cysts (fluid-filled sacs).

Management & Treatment

  • ManageEndo

    Understanding your symptoms and learning how to manage those symptoms can help to improve your quality of life. Our free ManageEndo online program talks through a range of tools you can add to your "toolbox".

  • Medical Treatment

    Managing PCOS effectively often requires a multifaceted approach, focusing on a combination of medical treatment and lifestyle adjustments. Medications may be prescribed to address specific symptoms, while cosmetic treatments can help with appearance-related concerns. However, the cornerstone of PCOS management is adopting a healthy lifestyle, which includes a balanced diet and consistent exercise. These lifestyle changes not only help mitigate the physical manifestations of PCOS but also support emotional well-being and mental health.

  • Building your Team

    Building a supportive team is key to managing endometriosis effectively. Your team might include healthcare professionals like a gynecologist, pain specialist, pelvic physiotherapist, and dietitian, as well as a trusted support network of family, friends, or peer groups. Each person plays a role in helping you navigate your treatment, understand your options, and advocate for your needs. By surrounding yourself with the right mix of expertise and support, you can create a more comprehensive approach to managing your symptoms and improving your overall well-being.

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