Approximately 25% of women have polycystic ovaries but not all of these will have any symptoms or difficulties.
Polycystic Ovarian Syndrome is diagnosed when the cysts are seen on ultrasound scan AND symptoms and problems are also present.
Signs and symptoms include: HIRSUTISM, ACNE, IRREGULAR PERIODS, OBESITY, DIFFICULTY CONCEIVING and DARKENING of SKIN, especially under the arms.
Blood tests may reveal raised Luteinising Hormone, Androgen levels and Insulin concentration.
Obesity is an important factor in the condition because increased fat cells result in a DECREASE in a BINDING PROTEIN which carries TESTOSTERONE safely around the body. This, in turn, leaves more FREE testosterone to act directly on hair follicles.
Over 33% of sufferers will become diabetic by the 5th decade of life. Psycho-social difficulties are commonplace as is difficulty or inability to conceive.
There is no cure for PCOS but medical management along side psychological & dietary support and expert treatment for excess hair are the way forward. It is emphasised that weight loss can and does result in significant reduction in symptoms. A BMI of 20 to 30 is generally the target. Not all sufferers are obese however. A tendency to form two groups has been recognised with this condition: these are divided along the lines of height and weight with attendant typical symptoms.
Medical treatment used consists of a contraceptive pill and sometimes an insulin sensitivity regulator.
“VERITY” is a support group which exists to help and support sufferers of PCOS. https://www.verity-pcos.org.uk