#PCOS a Systemic Breakdown
Twitter: @pcosgurl
November 21, 2014 – Mantua, New Jersey
Many are faced with a conundrum when learning and dealing with
PCOS which is; What am I really dealing with?
What PCOS is, and what it does to women who have it, is complicated to
explain as symptoms and severity of the syndrome can vary from person to
person. Some of the classic symptoms are drastic weight gain, hair loss,
depression, fatigue, thyroid problems, high cholesterol, panic attacks, headaches,
dizzy spells, poor memory or muddled mind, sleeping disorders, constant thirst,
extreme cravings, insulin resistance, cystic acne, cystic ovaries, menstrual
cycles without ovulation, irregular cycles, severe mood swings, high
testosterone levels, infertility problems, excess facial and body hair, not to
mention a seven times greater risk than an average woman for four major health
concerns affecting women in the United States today including heart disease,
diabetes, endometrial cancer and stroke.
Even though #PCOS was first recognized
over 75 years ago, we are no closer to understanding its cause or its
treatment. There is no singular test that can conclude whether a woman or
girl has the syndrome instead it is a collection of symptoms, history and
diagnostic testing. As a result once a doctor concludes it is Polycystic Ovary
Syndrome, they manage the symptoms to prevent long-term health consequences
such as infertility, diabetes and heart disease.
So by now you are probably wondering if
you do not already know,
What is Polycystic Ovary
Syndrome (#PCOS)?
Polycystic Ovary Syndrome (PCOS) is the most common hormonal problem in
women. It is also a metabolic disorder that affects several body systems and
can cause significant long-term health consequences. PCOS is often
characterized by enlarged ovaries, with multiple small painless cysts or
follicles, that form in the ovary. Two other key features of PCOS are
production of excess androgens (male sex hormones) and anovulation (the failure
to ovulate properly), which makes PCOS the leading cause of infertility.
So How does PCOS Affect my Body?
PCOS or Polycystic Ovary Syndrome got its name because many women with
PCOS have changes in their ovaries including small cysts that surround the
ovary looking as if it is a pearl necklace on ultra sounds. However PCOS is not a gynecological
problem, rather an endocrine disorder that changes how your body reacts to some
hormones, like insulin. The body uses insulin to turn food, especially sugar,
into energy with #PCOS insulin sensitivity and insulin resistance can make it
harder to process insulin. High levels of insulin cause more androgens (male
hormones) to be made in a woman's body. With higher levels of androgens, which
all women have, a woman can show some male signs like acne, male patterned
baldness or extra hair on the face or body.
Other issues that can wreak havoc on women with PCOS are weight gain,
especially around the mid-section (apple shape) and infertility as hormone
changes can keep a woman from having an ovum (egg) released from her ovary
every month which can cause her to skip periods (amenorreah) or have problems
getting pregnant. As insulin
increases in a woman with this syndrome it can also lend itself to (acathosis
nigracans) or darkened skin in the neck, armpits and skin tags.
So Why is getting diagnosed so
difficult?
There are two reasons why so many women with PCOS
are undiagnosed for years:
1. Some doctors may think that girls will
"grow out" of irregular periods, not recognizing that it is not
normal to have irregular periods
2. Other doctors, mostly gynecologists, KNOW that
a woman or girl has PCOS, but fail to mention or discuss it with their patients
PCOS is diagnosed by taking a history, doing a
physical exam, getting blood tests, and possibly getting an ultrasound. Of
these 4 things, the most important is a history of irregular periods: if you
tell a doctor your periods are irregular, chances are nearly 100% that you have
PCOS.
The number one, two and three warning signs of
PCOS are irregular periods, irregular periods, and irregular periods!
Also: trouble conceiving.
What treatments are available for
PCOS?
PCOS is probably multifactorial, and has
different causes in different women. However, in most women, the insulin levels
are very high. The high insulin levels drive the ovary to produce too much
testosterone. So in most women, the key is to lower the insulin levels, which
in turn will lower the testosterone. The most effective ways to lower insulin
are:
1. exercise, both aerobic and weight-training
2. avoid simple carbohydrates. Period.
3. take insulin-lowering medications to help make
exercise and diet more effective
What is being done to learn more about treatment and
diagnosis for PCOS?
Although the etiology of the syndrome is unclear,
there are currently markers being researched. A forum in 2013 outlined the
possible causes and effects of #PCOS and is calling for government recognition
and research into these areas.
Potential areas of further research activity
include the analysis of predisposing conditions that increase the risk of PCOS,
particularly genetic background and environmental factors, such as endocrine
disruptors and lifestyle
PCOS Forum:
Research in Polycystic Ovary Syndrome Today and Tomorrow
In closing PCOS affects various women in various
ways however it should never be left unchecked! Even if you don't want
children, it is essential to treat PCOS. The high insulin and testosterone lead
to high blood pressure, abnormal cholesterol and eventually diabetes. These are
the big three conditions that lead to heart disease.
If you suspect you or someone you knows has PCOS
be sure to speak with a PCOS friendly doctor and stay informed. Information is
key to living a healthier life with any condition you face!