What is pcos

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PCOS NIH overview symptoms diagnosis treatment

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"polycystic ovary syndrome"[MeSH Terms]

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PCOS stands for polycystic ovary syndrome. It is a common hormone-related condition that affects how the ovaries ovulate and can also affect metabolism.
People with PCOS may have some combination of:
  • Infrequent, irregular, or absent periods
  • Trouble ovulating, which can make pregnancy harder
  • Acne or oily skin
  • Excess facial or body hair
  • Thinning scalp hair
  • Weight gain or difficulty managing weight
  • Darkened, velvety skin patches, often on the neck or underarms, linked with insulin resistance
It is called “polycystic,” but it does not mean that everyone has ovarian cysts. The ovaries may contain many small immature follicles, and an ultrasound alone does not diagnose PCOS.
In adults, clinicians usually diagnose it after excluding other causes and finding at least two of these: signs of higher androgen activity, irregular or absent ovulation, or polycystic ovarian appearance on ultrasound. NIH's PCOS overview summarizes these criteria.
Treatment depends on a person's goals and symptoms. It can include lifestyle support, medication to regulate periods or reduce acne/hair growth, treatment for insulin resistance, and fertility treatment if pregnancy is desired. PCOS is manageable, but it is also associated with higher risks of diabetes, abnormal uterine bleeding, and mood concerns, so regular medical follow-up matters. NICHD explains symptoms and treatment.
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