What is Polycystic Ovarian Syndrome (PCOS)? Understanding Polycystic Ovarian Syndrome Symptoms, Diagnosis, and Treatment

Polycystic ovarian syndrome, or PCOS, is an endocrine disorder and a common cause of infertility in women. In PCOS, hormones that affect the reproductive system are abnormal, leading to irregular or absent ovulation. PCOS is a common disorder, affecting up to 8% of women.

Women with PCOS often have polycystic ovaries. This means that the ovaries have many tiny, benign and painless cysts. During an ultrasound exam, the tiny cysts may resemble a string of pearls. However, polycystic ovaries do not always point to PCOS. Studies have found that some women have polycystic ovaries, normal ovulation, and no other signs of an endocrine disorder like PCOS.

A common finding with PCOS is abnormally high levels of androgen hormones. While androgens are found in both men and women, they are considered to be primarily male hormones. High androgen levels are associated with some of the more visibly distressing symptoms of PCOS, including acne and abnormal hair growth.

What Are the Symptoms of Polycystic Ovarian Syndrome?

Symptoms of polycystic ovarian syndrome may include:

infertility
irregular or absent ovulation (anovulation)
amenorrhea (absence of monthly menstrual cycles) or oligomenorhhea (irregular monthly menstrual cycles)
recurrent miscarriage
abnormal hair growth, also known as hirsutism, found on the upper lip, chin, around the nipples, or on the abdomen
acne
especially oily skin and hair
male pattern balding
obesity
the presence of polycystic ovaries during ultrasound examination
insulin resistance
high levels of androgens, also known as hyperandrogenism
elevated levels of the hormone LH (making at-home ovulation tests difficult to use)

You do not need to have every symptom above to be diagnosed with PCOS, and PCOS does not present itself the same way for every woman. For example, many women with PCOS do not have abnormal hair growth and are at a healthy weight. Some women with PCOS may not have a menstrual cycle for months at a time, while other women with PCOS may only have slightly irregular cycles.

Because PCOS is diagnosed by looking at the greater picture, and by excluding other potential diseases that can cause similar symptoms, it’s important to see your doctor for an accurate diagnosis.

How Does Polycystic Ovarian Syndrome Cause Infertility?

The abnormal hormone levels associated with PCOS lead to problems with ovulation. These irregularities in ovulation are the main cause of infertility.

PCOS is also associated with a higher risk of early miscarriage. Research on PCOS has shown that the miscarriage rate may be as high as 20% to 40%, which is twice as high as in the general population.

It’s not exactly clear why miscarriage is more common in women with PCOS, but some theories include the following:

poor egg quality, related to premature or late ovulation
insulin resistance
a less-than-favorable environment for an embryo to implant in the uterine lining (due to abnormal hormone levels associated with PCOS)
How Is Polycystic Ovarian Syndrome Diagnosed?

Not everyone agrees on the criteria for diagnosing PCOS, and its definition has been changed over the years.

That said, the most commonly used diagnostic criteria currently being used requires two out of three of the following to apply:

irregular or absent menstrual cycles, caused by chronic anovulation
either blood test confirmation or outward signs of high levels of androgens (abnormal hair growth, acne)
the presence of polycystic ovaries, as seen by ultrasound examination

In addition, other potential causes of anovulation or high androgen levels must be eliminated. This usually includes testing for congenital adrenal hyperplasia, androgen-secreting tumors, and hyperprolactinemia.

What Kind of Testing Is Involved for Polycystic Ovarian Syndrome?

Blood work will be ordered to check hormone levels, blood sugar levels (for insulin resistance), and lipid levels. Transvaginal ultrasound may be ordered, in order to see if the ovaries appear polycystic.

Taking a detailed history is also an important part of PCOS diagnosis. Your doctor will want to know about how regular your menstrual cycles are, and ask about unwanted hair growth. You may be tempted not to mention unwanted hair growth because of embarrassment, but it’s important that you tell your doctor about this problem if you have it.

What Are the Potential Treatments for PCOS?

Treatment for PCOS will depend on whether or not you’re trying to get pregnant. If pregnancy is not a priority, birth control pills may be ordered to help regulate your cycles and help reduce acne and unwanted hair growth.

Some acne treatments are not safe to be used when you’re trying to get pregnant, so be sure to tell your doctor if you are.

For those trying to get pregnant, the treatment for PCOS is similar to the treatments used for treating anovulation. The first line of treatment is usually Clomid, which is used to help stimulate ovulation.

Metformin (also known as Glucophage), a drug usually used to treat insulin resistance, is sometimes used for treatment, even if you do not have insulin resistance.

If these medications do not help, then gonadotropins (fertility drugs that are taken by injection) may be tried. If drugs alone do not work, or if there are multiple factors leading to infertility, IVF treatment may be recommended.

Some studies have shown that women who are overweight with PCOS may be able to restart ovulation naturally by losing just 10% of their current weight. A healthy diet and regular exercise may also help bring back regular ovulation in some, but not all, women with PCOS.

For infertility Patients:

There are several methods of reversing infertility in couples. The first resort I always give to my patients and has worked wonderfully for nearly 80% of them is the Pregnancy Miracle System. Pregnancy Miracle is an all natural holistic solution for infertility patients. Read more about it here.

Understanding the Different Stages of Pregnancy

Pregnancy can be a puzzling time for the newly expectant dad. As your spouse experiences a hormonal rollercoaster, her body is likely to undergo some very surprising changes.

You will probably have heard the obstetrician refer to the term ‘trimester’. The nine months of pregnancy are divided into three trimesters. These mark important stages in the development of the fetus. Knowing about the trimesters will help you to understand your baby’s development better and also serve to demystify pregnancy for you.

First Trimester

The baby: This stage of pregnancy is marked by the speedy development of your baby. The first twelve weeks will see your baby grow to about three inches and have many of its organs already functioning – a lot when you consider that it all began with the fusion of two cells at the time of conception.

The mom: The frenzied discharge of hormones during the early months of pregnancy may be difficult for your spouse to handle. Nausea and an aversion to food items may be present. She will also complain of fatigue during this stage of pregnancy, as the growing baby makes its demands felt on her body. A healthy diet and a multivitamin prescribed by her obstetrician may help her cope with this.

Second Trimester

The baby: Your baby will continue to grow and develop normal functions. In fact, through these three months, your baby will grow to weigh two and a half to three pounds and measure fourteen inches. By the end of this trimester your baby, if it is born prematurely, will have matured enough to stand a good chance of surviving with appropriate medical care.

The mom: Your spouse’s belly will expand to accommodate the baby’s rapid growth. Thankfully, the distress caused by hormonal changes, such as nausea, will now start subsiding and allow her to enjoy the stages of pregnancy.

Third Trimester

The baby: During this last stage of pregnancy, the baby’s organs will become ready to support the baby once it is out of the womb. The baby will grow to weigh around seven pounds and measure twenty inches by the time it is born.

The mom: Carrying the extra weight will be uncomfortable as your spouse may find it difficult to move around. Swelling on the hands and feet are common symptoms during the third pregnancy trimester.

The third trimester of pregnancy culminates in labor, which marks the beginning of the process of childbirth. Here are some commonly accepted natural labor inducer.

Stages of a pregnancy www.pregnancywithoutpounds.com.

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