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Polycystic ovary syndrome (PCOS)

In spite of the fact that the PCOS causes have been clarified in the recent years, many points remain open in the therapy of the syndrome.

PCOS is a syndrome that has different symptoms of various degrees of severity, which all are caused by an underlying endocrinological disorder.

Symptoms that can make a woman with such a syndrome turn to a doctor are:

  • Regularly prolonged cycle
  • Irregularly prolonged cycle
  • Absence of the monthly cycle > 3 months
  • Infertility
  • Increase of the body hair growth
  • Unclean skin/Acne
  • Gain in weight

If there is a suspicion of PCOS, the gynaecologist will carry out following examinations:

  • Ultrasound of ovaries
  • Blood test

Many small cysts in the ovaries can often be found during an ultrasound examination. The problem is that they cannot mature into a normal follicle since the hormonal balance is incorrect. Its consequence is absence of egg cell maturation or a disturbed maturation, which does not lead to developing an egg capable of being fertilized.

Increased values of male hormones (Testosterone, DHEAS, Androstenedione) can often be found during the blood test, which also negatively influences the cycle.

Furthermore, there is also a disturbed sugar metabolization in some women, a so-called hyperinsulinemia, when a too high concentration of insulin can be found in the blood. This can possibly be treated with medicaments that are also used during diabetes therapy. The hyperinsulinemia is however not the same as diabetes.