Question 1

What is PCOS?

Accepted Answer

PCOS (Polycystic Ovary Syndrome) is a very common hormonal condition in women of reproductive age. In women with PCOS, male hormones (testosterone, androstenedione, DHEA) are elevated, leading to various symptoms.

Question 2

What are the symptoms of PCOS?

Accepted Answer

Common symptoms include excessive unwanted hair growth on the lips, chin, chest, and back (hirsutism), irregular or absent periods, difficulty getting pregnant, and acne. Not all patients experience all symptoms.

Question 3

How is PCOS diagnosed?

Accepted Answer

PCOS is diagnosed when a woman has at least 2 of the following 3 features — with normal TSH and prolactin levels: (1) enlarged ovaries with multiple small cysts on ultrasound, (2) signs of excess male hormones (in blood or clinically), or (3) irregular or absent menstrual periods.

Question 4

How is PCOS treated?

Accepted Answer

Treatment depends on the patient's primary concern. For obese women, diet and lifestyle changes for weight loss are essential. Oral contraceptive pills regulate menstrual cycles; antiandrogens reduce excess hair growth; metformin manages insulin resistance.

Question 5

Does cosmetic treatment help with excessive hair in PCOS?

Accepted Answer

Cosmetic treatments like laser hair removal and waxing are helpful but, in most cases, hormonal pills are also required alongside for lasting results.

Question 6

How important is weight loss for PCOS?

Accepted Answer

Very important. Obese women with PCOS are at significantly higher risk of type 2 diabetes, hypertension, high cholesterol, metabolic syndrome, heart disease, and stroke. Weight loss improves all PCOS symptoms and reduces long-term health risk.

Question 7

Is PCOS curable?

Accepted Answer

There is no permanent cure for PCOS. However, symptoms tend to improve in many women as they approach menopause.

PCOS FAQs

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