Polycystic Ovarian Syndrome: Definition of PCOS

Audrey Kubly
What exactly is PCOS? Well PCOS or Polycystic Ovarian Syndrome is a hormonal disorder among women. 6 to 10% of women have this disorder and do not know that they even have it, according to K. Sargen the author of the website. This disorder can affect a woman's fertility, hormones, menstrual cycle, production of insulin, blood vessels, heart and appearance. There are ways that a doctor will be able to tell if a woman has PCOS by some of the characteristics that are presented. The characteristics that doctors look for are: the high levels of a male hormone, which can cause facial hair, irregular or no menstrual cycle and there may be some cysts on the ovaries. The cysts are fluid filled sacs.

No one knows the exact cause of PCOS. Women with PCOS frequently have a mother or sister with PCOS. But there is not yet enough evidence to say there is a genetic link to this disorder. Many women with PCOS have a weight problem. So researchers are looking at the relationship between PCOS and the body's ability to make insulin. Insulin is a hormone that regulates the change of sugar, starches, and other food into energy for the body's use or for storage. Since some women with PCOS make too much insulin, it's possible that the ovaries react by making too many male hormones, called androgens. This can lead to acne, excessive hair growth, weight gain, and ovulation problems.

In women with PCOS, the ovary doesn't make all of the hormones it needs for any of the eggs to fully mature. They may start to grow and accumulate fluid. But no one egg becomes large enough. Instead, some may remain as cysts. Since no egg matures or is released, ovulation does not occur and the hormone progesterone is not made. Without progesterone, a woman's menstrual cycle is irregular or absent. Also, the cysts produce male hormones, which continue to prevent ovulation.

There are certain signs and symptoms that determine if a woman has PCOS. Some of the signs are: absence of menstrual cycle or irregular cycles, infertility or no ability to become pregnant because of not being able to ovulate, increasing hair growth on the face or stomach, pelvic pain, acne or oily skin, extreme weight gain around the waist, type 2 diabetes (caused by the extreme weight gain in the mid section), high cholesterol, high blood pressure, thinning hair, patches of dark skin around the neck or arms, and sleep apnea. As far as the high cholesterol and high blood pressure, that is associated with the type 2 diabetes

There is no single test to diagnose PCOS. Your doctor will take a medical history, perform a physical exam-possibly including an ultrasound, check your hormone levels, and measure glucose, or sugar levels, in the blood. If you are producing too many male hormones, the doctor will make sure it's from PCOS. At the physical exam the doctor will want to evaluate the areas of increased hair growth, so try to allow the natural hair growth for a few days before the visit. During a pelvic exam, the ovaries may be enlarged or swollen by the increased number of small cysts. This can be seen more easily by vaginal ultrasound, or screening, to examine the ovaries for cysts and the endometrium. The endometrium is the lining of the uterus. The uterine lining may become thicker if there has not been a regular period.

There is no cure for PCOS; however, there are treatments to help manage this disorder. The ways that a woman can manage this disorder are: birth control pills, medication for diabetes such as metformin (glucophage), medicine for fertility, medicine for increased hair growth or extra male hormones, surgery and last but not least is getting down to a healthy weight.

Unfortunately, with disorder comes the risk of developing other serious conditions. Irregular menstrual periods and the absence of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Without progesterone, which causes the endometrium to shed each month as a menstrual period, the endometrium becomes thick, which can cause heavy bleeding or irregular bleeding. Eventually, this can lead to cancer. Women with PCOS are also at higher risk for diabetes, high cholesterol, high blood pressure, and heart disease. Getting the symptoms under control at an earlier age may help to reduce this risk.Right now, doctors are doing the best they can and doing more research about this disorder. There is hope for all the women who are faced with PCOS. There are doctors out there who specialize in the hormones and the reproductive system.

If you experience any of these symptoms I would suggest getting checked out before it's too late. I have this disorder and if I wouldn't have caught this in time I could have been dead because I was to the point of having a stroke or heart attack. My cholesterol was high enough to kill me according to my doctor. I have most of these symptoms that I have listed. This is nothing to mess around with especially the weight gain.

Published by Audrey Kubly

I am currently in the process of getting into Briar Cliff University. I am getting a Bachelor's degree in Mass Communication. I am wanting to focus on writing or being behind the camera for television. I am...  View profile

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