{"id":3686,"date":"2010-09-28T05:06:45","date_gmt":"2010-09-28T10:06:45","guid":{"rendered":"http:\/\/wholehealthchicago.com\/?p=3686"},"modified":"2021-09-12T09:58:04","modified_gmt":"2021-09-12T14:58:04","slug":"polycystic-ovary-syndrome-pcos","status":"publish","type":"post","link":"https:\/\/wholehealthchicago.com\/blog\/2010\/09\/28\/polycystic-ovary-syndrome-pcos","title":{"rendered":"Polycystic Ovary Syndrome (PCOS)"},"content":{"rendered":"\n<p>PCOS is by far the most common cause of infertility in women, and the number of women with diagnosed and undiagnosed PCOS is best described as \u201cvast.\u201d Experts estimate that as many as 10% of women of childbearing age may have the disorder.<\/p>\n\n\n\n<p>When I was in med school, <a href=\"https:\/\/wholehealthchicago.com\/blog\/2010\/10\/05\/treating-pcos\" target=\"_blank\" rel=\"noreferrer noopener\">PCOS<\/a> was quite uncommon. Now you see articles in women\u2019s magazines and experts on daytime talk shows teaching the public about PCOS. At least there\u2019s hope for affected women, who find themselves becoming overweight without any change in eating habits. Adding the other PCOS symptoms&#8211;acne, dark facial hair, and sometimes male pattern baldness\u2014is like rubbing salt in a wound.<\/p>\n\n\n\n<p>The average woman sees five doctors before being diagnosed with PCOS. (Most don\u2019t actually make it to five, giving themselves up to fate, and millions more go undiagnosed because they have no access to the health care system).<\/p>\n\n\n\n<p>This diagnostic delay is a good example of a major flaw in the specialized education of doctors. Ovaries, infertility, and irregular periods are considered the turf of obstetrician-gynecologists. On the other hand, obesity, excess facial hair, metabolic syndrome, and cholesterol are buzzwords belonging to internists. PCOS requires that an OB-GYN think like an internist&#8230;and vice-versa. Plus, it\u2019s only been recently that the two groups of physicians sat down and started discussing what seems to be a near epidemic of PCOS.<\/p>\n\n\n\n<p>What causes PCOS?<br>The situation is further complicated by the absence of straightforward tests to clinch the diagnosis, not helped by the fact that doctors are uncertain what triggers PCOS in the first place. There appears to be a genetic predisposition&#8211;PCOS is common in sisters and mothers, and brothers of PCOS patients have high levels of pre-testosterone DHEA, though it\u2019s harmless to them.<\/p>\n\n\n\n<p>Some researchers attribute the PCOS epidemic to endocrine (hormone) disruption caused by the massive amounts of toxic chemicals in our environment, which then trigger PCOS in a genetically susceptible woman.<\/p>\n\n\n\n<p>The underlying problem in PCOS begins when the ovaries develop fluid-filled sacs called cysts and begin to secrete an excessive amount of the male hormone testosterone. This in turn disrupts menstrual regularity and ovulation and leads to infertility. It\u2019s the testosterone that also causes excessive facial hair and acne.<\/p>\n\n\n\n<p>To complicate matters, woman with PCOS develop resistance to the blood sugar-lowering hormone insulin, a situation similar to adult-onset (Type 2) diabetes that leads to high levels of glucose in the blood, weight gain, high cholesterol, and even more testosterone production. To compensate for insulin resistance and high glucose, the body produces even more insulin, which in turn produces even more male hormone, like a snowball rolling downhill out of control. After years of elevated glucose and cholesterol levels, women with untreated PCOS become susceptible to heart disease and high blood pressure.<\/p>\n\n\n\n<p>I\u2019d recommend that every woman with a combination of irregular periods (with or without infertility), unexplained weight gain, and\/or new facial hair ask her doctor about PCOS. I assure you there are helpful treatments, both conventional and alternative.<\/p>\n\n\n\n<p>The standard diagnostic tests for PCOS are:<br>\u2022 Blood tests that check for evidence of elevated male hormones (testosterone and androstenedione).<br>\u2022 Tests to check for insulin resistance (blood glucose and insulin levels).<br>\u2022 Vaginal ultrasound to look for cysts.<br>\u2022 Tests for levels of other hormones (estrogen, progesterone, thyroid, adrenal) and cholesterol.<\/p>\n\n\n\n<p>It\u2019s essential for women with PCOS to begin major lifestyle changes, primarily nutritional counseling with weight reduction and exercise.<\/p>\n\n\n\n<p>Next week: Treating PCOS.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>PCOS is by far the most common cause of infertility in women, and the number of women with diagnosed and undiagnosed PCOS is best described as \u201cvast.\u201d Experts estimate that as many as 10% of women of childbearing age may have the disorder.<\/p>\n","protected":false},"author":2087,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,195,3,216],"tags":[926,218,1199,470,341,385,852,321,714,1200,614,1201,1202],"class_list":["post-3686","post","type-post","status-publish","format-standard","hentry","category-blog","category-diseases","category-knowledge-base","category-p","tag-acne","tag-cholesterol","tag-dark-facial-hair","tag-dhea","tag-diabetes","tag-glucose","tag-heart-disease","tag-high-blood-pressure","tag-infertility","tag-male-pattern-baldness","tag-overweight","tag-pcos","tag-polycystic-ovary-syndrome"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\r\n<title>Polycystic Ovary Syndrome (PCOS)<\/title>\r\n<meta name=\"description\" content=\"The underlying problem in PCOS begins when the ovaries develop fluid-filled sacs called 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