Polycystic Ovary Syndrome (PCOS) Q&A

What is PCOS?

PCOS is characterized by an imbalance in your reproductive hormones. Women with PCOS have high levels of male sex hormones, known as androgens.

This hormonal imbalance affects ovulation. Eggs may not develop properly in the ovaries or may not develop at all. This leads to problems with your menstrual cycle and fertility. 

PCOS may also cause small cysts to develop on your ovaries. As a result, your ovaries may become enlarged and not function properly. These cysts contribute to symptoms like irregular menstruation and infertility.  

PCOS can affect your insulin levels. Insulin is a hormone produced by your pancreas. It’s responsible for shuttling sugar from your blood to cells for energy or storage.

What are the symptoms of PCOS?

Women with PCOS often have an irregular, unpredictable menstrual cycle.

Other symptoms include: 

  • Weight gain and trouble losing weight
  • Male-pattern hair growth and loss
  • Infertility
  • Acne

Women with PCOS are also at risk of developing chronic diseases like Type 2 diabetes and heart disease.

How is PCOS diagnosed?

If you come to Tristan E. Bickman, MD, with symptoms that suggest PCOS, you’ll undergo a number of screenings to establish a diagnosis. 

Dr. Bickman will look at your personal and family medical history, and perform a physical and pelvic exam. You’ll undergo blood tests to evaluate your hormone levels and an ultrasound to check for cysts on your ovaries.

What is the treatment for PCOS?

PCOS can’t be cured, but the condition can be managed successfully so you experience minimal interference with your quality of life.

Your treatment may include:

  • Hormonal contraception to regulate your cycle
  • Anti-androgen medications to reduce hair loss, irregular hair growth, and acne
  • Metformin to lower your blood sugar
  • Weight loss assistance

Women with PCOS who are trying to get pregnant have options, too. Dr. Bickman develops a plan that greatly increases your chances of successfully conceiving. 

You may benefit from lifestyle changes like weight loss and a healthy diet, medications like clomiphene, and in vitro fertilization.

If you have symptoms that suggest PCOS, call Tristan E. Bickman, MD, or book an appointment online today.