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Julie Renee Holland
BellaOnline's Infertility Editor

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Polycystic Ovarian Syndrome (PCOS)

PCOS or polycystic ovarian syndrome is also known as PCO or PCOD. It was first diagnosed in 1935 as Stein-Leventhal syndrome. As many as 5-10% of all women suffer from PCOS. Nearly 75% of those who have it are undiagnosed. It is one of the most common hormonal abnormalities in women of all ethnic groups. However, women of Hispanic, Native American and South Asian descent are more prone to PCOS. It can be found in women from their teens to menopause. It is a leading cause of infertility.

Many doctors now call it "hyperandrogenic anovulation." This simply means that the body is producing too many androgens and that ovulation is not occurring normally. Androgens are often thought of as "male hormones." However, the female body turns androgens into estrogen a distinctly "female" hormone.

With PCOS the ovaries tend to produce slightly higher amounts of androgens. These slightly elevated levels of androgens can cause the ovaries to stop working properly. Instead of producing one large follicle that produces a mature egg each month, the small follicles or fluid filled sacs called cysts begin to develop. With too much androgen surrounding them, they stop developing. This leads to even more androgen production. Over time the ovaries become covered in these tiny half-developed follicles. This leads to the "string of pearls" or polycystic ovaries many women develop with PCOS. Your doctor may request an ultrasound to check for these tiny cysts.

Some doctors still see PCOS patients as "fat" women with no self control. Doctors often fail to diagnosis PCOS because they don't recognize the diverse set of symptoms as being part of one medical condition. Some doctors see it only as a "fertility issue" and tell their patients to "come back when you want to get pregnant." Infertility is a serious problem with PCOS. However, it is very important that PCOS patients be evaluated for several other health issues. Menstrual irregularity can lead to cancer if not treated. Appearance issues can lead to problems with self-esteem and depression. Women who suffer from weight problems and hair issues can be at particular risk. Finally, many women with PCOS often have insulin/blood sugar problems, high blood pressure, and high cholesterol. Untreated these problems can lead to diabetes, liver disease or heart disease.

No one is quite sure what causes PCOS but recent studies indicate that chronic inflammation may set the stage for the hormonal storm that is PCOS. There are indications that it has both genetic and environmental causes. It is vital to treat PCOS as it can lead to irregular periods, irregular bleeding, cancer of the uterus, excessive body or facial hair, acne, insulin resistance, diabetes, high cholesterol, liver disease, and even heart disease.

Treatment may include changes in diet to reduce insulin resistance and combat chronic inflammation. An exercise program may lower cholesterol and improve the way the body handles insulin. There are a number of promising drugs available, such as metformin (Glucophage). Other treatments focus on symptoms such as hair loss, facial hair reduction, weight control, and depression.

More information is available at http://pcoscoach.com



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Content copyright © 2008 by Julie Renee Holland. All rights reserved.
This content was written by Julie Renee Holland. If you wish to use this content in any manner, you need written permission. Contact Julie Renee Holland for details.

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