Polycystisk ovariesyndrom (PCOS)
PCOS affects 15% of all women and can cause many health problems.
The cause of PCOS is unknown and there is a great need for more research in the field. Gynecologist Azita Mahmoudan, who is the gynecologist in charge at Dr.Dropin, researches PCOS at Oslo University Hospital and has a burning commitment to under-prioritized gynecological diseases.
The syndrome leads to hormonal imbalance with the production of too much testosterone and can lead to diabetes, obesity, abnormal hair growth, impure skin and pimples and the challenges of getting pregnant in a normal way.
The diagnosis is made on the basis that you have at least two out of three symptoms:
- Larger ovaries with 20 or more small ovaries in one ovary on ultrasound examination
- Irregular menstruation and ovulation
- Too high testosterone levels, hair growth, impure skin and pimples
What do we know about PCOS?
The number of eggs in women with PCOS is abnormally high and the eggs make too much testosterone. High testosterone levels can lead to abnormal hair growth on the body and face, pimples, hair loss on the head, high muscle mass and increased sex drive. The menstrual cycle is irregular, infrequent or does not occur at all and leads to a lack of ovulation. Which means that many people need help to get pregnant. The women also have predispositions for high blood pressure and high cholesterol, which can lead to cardiovascular disease if left untreated. Obesity in two out of three and sleep apnea is also something PCOS brings with it. Decreased hormone control of sugar (insulin) can lead to type 2 diabetes. Many women with PCOS experience lower quality of life, anxiety and depression.
There is treatment for PCOS, but the syndrome itself cannot be cured. Many people experience a good effect of treatment. The most important treatment is weight loss, which in itself will lead to an improvement in hormone levels (lower insulin and testosterone levels) and stabilization of menstruation and thus ovulation. 5% weight reduction can give a 20% higher chance of getting pregnant.
The menstrual cycle can be stabilized with the help of birth control pills and will work by reducing male sex hormones. Metformin, which is a diabetes medicine, provides better blood sugar control and some weight reduction and can be beneficial for many. Laser treatment can remove unwanted hair growth. In vitro fertilization or medication that stimulates ovulation can help those who are involuntarily childless.
The cause of PCOS is unknown, but heredity, environment and lifestyle are related to the development of the syndrome and the severity of the symptoms. The condition develops in late puberty and through the fertile age until menopause.
At the doctor's, you will go through the medical history and look at characteristic features. This often gives rise to a suspicion that makes one proceed with examinations and gynecological examination. The small cysts on the ovaries can be made using ultrasound, but not in everyone. Blood tests can reveal abnormal hormone levels and give a picture of, among other things, cholesterol and sugar metabolism in the body. The examinations can also clarify whether there are other causes for the symptom picture. The prognosis depends on how pronounced the condition is and whether you get the right treatment to get control of hormone levels, blood sugar, cholesterol and blood pressure.
It is important to have good knowledge about PCOS for both the therapist and the woman herself in order to be able to prevent later illness as a consequence of the imbalance in the body's many systems. The general practitioners and gynecologists at Dr.Dropin have good knowledge of women's health and can assist in the investigation and treatment of the disease.
How can Dr.Dropin help?
How can Dr.Dropin help you?
At Dr.Dropin, we have general practitioners and gynecologists who have good knowledge of women's health and we focus on this in our internal training program. All our doctors receive regular lectures on women's health and gynecology from experienced specialists in the field.
Our own gynecologist Azita Mahmoudaner specializes in fertility and is writing a doctorate on PCOS. Endometriosis is also one of her core areas.
You can book an appointment in one of our clinics with both a general practitioner and a gynecologist. At the gynecologist you will have an ultrasound performed. We put women's health first and want to meet our patients with care and high professional competence.
Do not hesitate to get in touch
Do you have more questions about endometriosis or other gynecological diseases? Contact us or we will help you as best we can.