Polycystic ovary syndrome (PCOS)

Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women of childbearing age. In fact, almost 50% of all female related infertility cases are related to PCOS. This syndrome is characterized by irregular menstrual periods, high levels of male like hormones (testosterone, DHEAS) and obesity. The actual cause of PCOS has puzzled the medical science for almost a century. Nonetheless, it has been observed that PCOS is associated with hypothalamic dysfunction and insulin resistance.

A thorough hormonal evaluation will help Dr. Gomez to determine if you have this condition. Facial acne and excessive hair growth in different areas of the body along with obesity may indicate the diagnosis of PCOS. However, about 15% of women with normal weight may have the so called “lean type” PCOS variant.

Treatment options include ovulation induction medications (clomiphene citrate, letrozole), insulin sensitizing agents (metformin, pioglitazone), dietary changes (low glycemic diets) and surgery (ovarian diathermy). These therapeutic modalities have proven successful in allowing many women to both overcome PCOS and conceive a child. Women who undergo treatment for PCOS, but are still unable to conceive a child naturally, often require the use of assisted reproductive technologies, such as IVF, allowing higher pregnancy success rates.

Sometimes, the pathway to overcome PCOS is not easy, but it takes a strong commitment form both the patient and Dr. Gomez. Our team of health professionals is committed to support all our patients every step of the way.

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