PCOS Recognition & Treatment

What is PCOS?

PCOS, short for Polycystic Ovary Syndrome, is a hormonal disorder that affects individuals with ovaries who are of reproductive age. PCOS causes irregular menstruation, which can mean either infrequent or prolonged menstrual periods as well as excess androgen hormone levels (hyperadnrogenism) (Source). Individuals with PCOS have what’s known as polycystic ovaries, ovaries which are enlarged ovaries that develop follicles surrounding the egg in the ovary. This impacts regular functioning and ovulation - in fact, often ovulation does not occur regularly at all, which can make it incredibly difficult for women with PCOS to conceive. There are also significant effects that can result from excess androgen in the body, including the development of acne, hair loss, and excess body hair.

Potential Complications

Complications from PCOS can be serious, and emphasize the importance of prioritizing health care and disease management for individuals with PCOS. In addition to being the leading cause of infertility, PCOS can also result in a miscarriage, and increase a person’s risk for endometrial cancer (Mayo, 2020). Folks with PCOS have also been shown to have a higher prevalence of cardiometabolic risk factors such as insulin resistance and increased blood pressure (Source). Perhaps as a result of hormonal imbalances, mood disorders such as depression and anxiety are also more prevalent among individuals with PCOS (Source).

Treatment

Treatments for PCOS vary based on each patient’s unique symptoms and health history. Here at SageMED, Dr. Maiko Ochi specializes in treating PCOS. Dr. Ochi takes a collaborative approach with her patients, with treatments aimed toward resolving the symptoms of PCOS by treating the root factors that contribute to PCOS symptoms. This is typically a two-fold approach, with a focus on lowering androgens and addressing insulin resistance.

Herbs and supplements are used to lower androgen levels and provide support in promoting regular ovulation and thus regular menstrual cycles. A high percentage of women with PCOS also suffer from insulin resistance. Insulin resistance is diagnosed with the help of diagnostic testing, and patients with confirmed insulin resistance work with Dr. Ochi to address this through nutrition and exercise changes.

If you believe you may have PCOS, or if you are looking for a new approach to addressing your PCOS with a collaborative doctor-patient relationship, schedule an appointment with Dr. Ochi to take an important step toward better health.

References

Mayo Foundation for Medical Education and Research. (2020, October 3). Polycystic ovary syndrome (PCOS). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/pcos/symptoms-causes/syc-20353439.