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Polycystic Ovary Syndrome (PCOS) – Symptoms, Diagnosis, and Long-Term Management

Polycystic Ovary Syndrome (PCOS) is one of the most common hormonal disorders affecting women of reproductive age. Despite its prevalence, PCOS often goes undiagnosed for years, leading to complications such as infertility, metabolic issues, and emotional distress. Understanding PCOS is the first step toward effective management and improved quality of life.

What Is PCOS?

PCOS is a hormonal condition characterized by an imbalance in reproductive hormones. This imbalance affects ovulation, causing irregular menstrual cycles and the formation of small cysts on the ovaries. However, not all women with PCOS have ovarian cysts, making diagnosis more complex.

Common Symptoms of PCOS

Symptoms of PCOS vary widely from person to person and may change over time. The most common signs include:

  • Irregular or absent menstrual periods

  • Excess facial or body hair (hirsutism)

  • Acne and oily skin

  • Weight gain or difficulty losing weight

  • Thinning scalp hair

  • Dark patches of skin (acanthosis nigricans)

  • Difficulty conceiving

Because symptoms can appear gradually, many women dismiss them as normal hormonal changes.

Causes and Risk Factors

The exact cause of PCOS is not fully understood, but several factors play a role:

  • Insulin resistance, leading to increased androgen production

  • Genetic predisposition

  • Hormonal imbalances, particularly elevated androgens

  • Chronic low-grade inflammation

Lifestyle factors such as poor diet and lack of physical activity can worsen symptoms.

How PCOS Is Diagnosed

Diagnosis is based on a combination of:

  • Medical and menstrual history

  • Physical examination

  • Blood tests to measure hormone levels

  • Pelvic ultrasound

Early diagnosis helps prevent long-term complications and improves fertility outcomes.

Long-Term Health Risks

If left unmanaged, PCOS can increase the risk of:

  • Type 2 diabetes

  • High blood pressure

  • Heart disease

  • Endometrial cancer

  • Depression and anxiety

This makes long-term monitoring and care essential.

Treatment and Management Options

There is no cure for PCOS, but symptoms can be effectively managed.

1. Lifestyle Changes
Healthy eating, regular exercise, and weight management significantly improve insulin sensitivity and hormonal balance.

2. Medications
Hormonal contraceptives regulate periods, while medications like metformin improve insulin resistance.

3. Fertility Treatments
Ovulation-inducing medications are used for women trying to conceive.

When to Seek Medical Help

Persistent symptoms or fertility concerns should prompt consultation with an experienced gynecologist in Miramar for personalized management.

Conclusion

PCOS is a lifelong condition, but with proper care, women can lead healthy, fulfilling lives. Awareness, early diagnosis, and a holistic approach to treatment are key to managing PCOS effectively.