At a Glance
- Polycystic Ovary Syndrome (PCOS) affects about 1 in 10 women of reproductive age.
- It can cause irregular or absent periods, excess androgen levels, acne, and ovarian cysts.
- PCOS is often linked to insulin resistance and metabolic changes, increasing the risk of type 2 diabetes and cardiovascular disease.
- Treatment focuses on hormonal balance, lifestyle adjustments, and fertility support.
Quick Summary
Condition: Polycystic Ovary Syndrome (PCOS), a hormonal imbalance affecting ovulation and metabolism.
Symptoms: Irregular periods, excess hair growth, acne, weight changes, and fertility challenges.
Diagnosis: Blood tests, ultrasound, and evaluation of symptoms.
Treatment: Hormone therapy, insulin management, weight optimization, and fertility-focused
care.
What Is PCOS?
Polycystic Ovary Syndrome is a common hormonal disorder that interferes with normal ovulation. Women with PCOS often produce
higher-than-normal levels of androgens, or male hormones, which can disrupt the menstrual cycle and cause multiple small cysts to develop on
the ovaries.
The exact cause is complex and likely involves genetics, insulin resistance, and environmental factors. While there is no single “cure,”
PCOS is very manageable with the right care and consistency.
Common Symptoms
| Category | Possible Symptoms |
|---|---|
| Menstrual | Irregular or absent periods, light or heavy bleeding |
| Hormonal | Acne, excess hair growth, and thinning scalp hair |
| Metabolic | Weight gain, fatigue, and insulin resistance |
| Fertility | Irregular ovulation, difficulty conceiving |
Many patients experience only some of these symptoms. A full evaluation helps identify which systems are most affected and which treatment
options will be most effective.
How We Diagnose PCOS
At DelCharco, M.D. OB/GYN diagnosis begins with a thorough review of your health history and symptoms. We use clinical criteria that
require two of the following three findings:
- Irregular or absent ovulation
- Elevated androgen levels (through bloodwork or symptoms)
- Polycystic-appearing ovaries on ultrasound
Additional lab testing may include fasting glucose and insulin levels, thyroid function screening, lipid panel, and a comprehensive hormone
profile. An accurate diagnosis helps us address both the reproductive and metabolic aspects of PCOS.
Treatment Options That Work
Treatment is personalized depending on whether your goals are symptom relief, cycle regulation, or fertility.
For Hormonal Balance
- Oral contraceptives help regulate menstrual cycles and lower androgen levels.
- Anti-androgen medications can reduce acne and hair growth.
For Metabolic Health
- Lifestyle adjustments such as balanced nutrition, exercise, and sleep hygiene are critical.
- Metformin, a medication that improves insulin sensitivity, can support ovulation and weight control.
For Fertility Goals
- Ovulation induction using medications like letrozole or clomiphene may help regulate cycles for conception.
- We work closely with fertility specialists when additional reproductive support is needed.
Living Well with PCOS: Our Approach
PCOS is not only a reproductive condition; it also affects long-term health. Women with PCOS are at higher risk for type 2 diabetes, high
cholesterol, and endometrial changes. That’s why we take a whole-person approach that includes:
- Regular follow-ups and blood work
- Nutrition and weight management guidance
- Emotional support for stress and self-image concerns
- Ongoing education to promote empowerment and self-care
We also emphasize the importance of small, sustainable changes rather than restrictive diets or unrealistic expectations.
Checklist: When to See a Doctor
| Question | Yes/No | Notes |
|---|---|---|
| Are your periods irregular or absent? | ☐ | Possible sign of hormonal imbalance |
| Have you noticed new or worsening acne or hair growth? | ☐ | May indicate elevated androgen levels |
| Are you struggling to conceive after six months of trying? | ☐ | Early evaluation can improve fertility outcomes |
| Do you experience fatigue, weight changes, or sugar cravings? | ☐ | May suggest insulin resistance |
| Has it been more than a year since your last wellness exam? | ☐ | Schedule an annual visit for preventive care |
If you answered “yes” to any of these questions, it is a good idea to schedule an appointment with your OB/GYN for a full evaluation.
You can contact our office or request an appointment here:
https://delcharco.com/contact/
Frequently Asked Questions
Q: Can I get pregnant if I have PCOS?
Yes. Many women with PCOS conceive naturally or with medication-assisted ovulation.
Q: Will losing weight cure PCOS?
Weight loss alone does not cure PCOS, but it can significantly improve symptoms and hormone balance.
Q: Does PCOS go away after menopause?
Symptoms often improve, but the metabolic risks (diabetes, heart disease) remain. Lifelong monitoring is recommended.
Final Thoughts
PCOS is common and manageable with proper diagnosis and comprehensive care. With the right medical support, women can regulate cycles,
improve metabolic health and plan for pregnancy successfully.
At DelCharco, M.D. OB/GYN, we provide personalized treatment plans that address both the physical and emotional aspects of PCOS. Our
mission is to help women regain control of their health, their hormones and their confidence.