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Polycystic Ovarian Syndrome

Also called: Polyfollicular Ovarian Disease, Polycystic Ovarian Disease, Polyfollicular Ovaries, Polycystic Ovary Syndrome, Stein Leventhal Syndrome, Hyperandrogenic Anovulation Syndrome, PCOS

- Summary
- About PCOS
- Risk factors and causes
- Signs and symptoms
- Diagnosis methods
- Treatment and prevention
- Ongoing research
- Questions for your doctor

Reviewed By:
Joanne Poje Tomasulo, M.D., ACOG
Marc Kaufman, M.D., ACOG

Ongoing research about PCOS

The link between insulin resistance and polycystic ovarian syndrome (PCOS) is leading researchers to examine the effects of medications used in diabetes treatment on patients with this hormonal imbalance.

There is promising evidence that shows the use of metformin (a type of insulin sensitizer) to be highly successful in regulating the menstrual cycle and lowering body mass index (BMI). It may also help overall cholesterol levels and increase ovulation and fertility, although some studies show that traditional fertility medications such as clomiphene are more effective in achieving pregnancy.

Research is also continuing in other disease areas for which women with PCOS have an increased risk, such as cardiovascular disease and metabolic syndrome. Cardiac risk factors such as increased LDL cholesterol and cardiac calcium levels are being studied in PCOS patients and how much those increased levels contribute to heart disease.

For the most part, research is still being conducted to better understand the underlying causes of PCOS. In addition, treatment using natural progesterone and laser therapy to improve ovulation are being studied in women. Ongoing studies are starting to confirm the belief that women with this hormonal imbalance who obtain proper treatment can live healthier lives, and may even have healthy pregnancies.

Questions for your doctor about PCOS

Preparing questions in advance can help patients have more meaningful discussions with their physicians regarding their conditions. Patients may wish to ask their doctor the following questions about polycystic ovarian syndrome (PCOS):

  1. Do I need to see a specialist for PCOS?

  2. What is typically done to confirm a PCOS diagnosis?

  3. Do you test for complications associated with PCOS, such as insulin resistance or diabetes?

  4. What are my treatment options for PCOS, and what are the side effects?

  5. What are the benefits and risks associated with these options?

  6. How long will I need this treatment?

  7. If this treatment does not help, do I have other options?

  8. What do you recommend for women with PCOS who are trying to conceive?

  9. Do you recommend any lifestyle changes as part of the treatment for PCOS?

  10. Can PCOS affect any other health conditions that I may have?

  11. What are the chances my daughter will have the same condition?

  12. Is there genetic testing for this condition?

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Review Date: 01-04-2008
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