Polycystic ovarian syndrome

Working together

At Ginemed we are committed to offering advice about, and treating, this illness. Part of this commitment is our agreement with the Spanish Polycystic Ovarian Syndrome Association. Our specialists are there to resolve any questions and recommend the best options to help achieve a pregnancy.

Dr Elena Troncoso and Dr Aránzazu Casla
Specialists in PCOS
Frequently asked questions
How is PCOS diagnosed?

Because this condition is diagnosed by identifying several different problems, PCOS is diagnosed using a combination of physical exam and history, ultrasound (sonogram), and blood tests.

On exam, women who have PCOS usually complain of irregular or missed menstrual periods or a long time between periods.

They may also be overweight, have increased hair growth (hirsutism), acne, or be unable to get pregnant.

On ultrasound, many women with PCOS have enlarged ovaries with many small cysts. Blood tests may show high blood sugar, high cholesterol levels, or high levels of male hormones.

Source: American Society for Reproductive Medicine

What risks do women have with PCOS?

Some of the risks are related to a woman not ovulating regularly. When ovulation doesn’t happen, it interrupts the usual hormone cycle and causes levels of estrogen making the lining of the uterus to thick and causing abnormal bleeding.

Symptoms include extra weight, high cholesterol, high blood pressure, and insulin resistance/diabetes.

Source: American Society for Reproductive Medicine

How is infertility in women with PCOS treated?

Different options exist to tackle infertility that is caused by PCOS.

One way to treat infertility is to cause ovulation using medicine, women with PCOS must be watched very carefully when these medicines are used to make sure that they are not responding too much as this increases the risk of multiple births, this must always be undertaken under medical supervision and monitored by a specialist.

If a woman is overweight, losing weight and a healthy lifestyle can help improve ovulation patterns and fertility. Insulin-sensitizing medicines such as metformin can help the body use insulin more effectively to improve ovulation in some patients with PCOS. This may also lower the risk of developing diabetes or metabolic syndrome.

In vitro fertilization (IVF) may help women with PCOS get pregnant if other treatments do not work.

Source: American Society for Reproductive Medicine

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