All You Need to Know About PCOS

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All You Need to Know About PCOS
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What is PCOS?

• Polycystic Ovarian Syndrome(PCOS) is a
  hormonal condition that affects about 6 to 8 o
  women of reproductive age worldwide. It is
  diagnosed by combination including high androgen
  (testosterone) levels seen on blood test and
  clinical features including
• Excess androgen hirsutism (unwanted hair
  growth), acne or androgenic alopecia (scalp hair
  loss)
• Menstrual dysfunction abnormal uterine bleeding,
  amenorrhea (absent periods), oligomenorrhea
  (infrequent periods)
• Polycystic ovaries (as seen on a pelvic
  ultrasound)

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How is PCOS Treated?

• Proper diet and exercise are very important
  lifestyle modifications to consider. Metformin
  may help with regulating a womans period because
  it improves insulin resistance and lowers
  testosterone levels. But the critical issue
  irregular periods, no periods and infertility is
  also linked to low progesterone production.
• Progesterone replacement is key in women with
  PCOS. Progesterone relays a message to the main
  control center of the ovaries the hypothalamus
  and pituitary gland in your brain and this
  message is to stop stimulating the ovaries in
  making so much testosterone. 

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How Bioidentical Hormones Fit into PCOS?

• If you have PCOS, taking bioidentical hormones
  such as micronized progesterone for 14 days every
  month may help get your hormones on the same page
  and naturally balanced. Treatment needs to go on
  for about three to six months to see results, in
  conjunction with proper diet and exercise. With
  time women with PCOS can get their natural
  hormone levels back on track.

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References

• Azziz R, Carmina E, Dewailly D et al.
  The Androgen Excess and PCOS Society criteria for
  the polycystic ovary syndrome the complete task
  force report. Fertil Steril 2009 91(2)456-88.
• Unfer V, Casini ML, Marelli G et al. Different
  routes of progesterone administration and
  polycystic ovarian syndrome a review of the
  literature. Gynecological Endocrinology.200521(2)
  119-127.
• Sidney S, Siscovick DS, Petitti, DB et al.
  Myocardial infarction and use of low-dose oral
  contraceptives a pooled analysis of 2 US
  studies. Circulation. 199898 1058-1063.

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• Thank You!