Yes, polycystic ovary syndrome (PCOS), with the right interventions on the level of the lifestyle (diet, physical activity) and medical treatment (mainly oral contraceptive pills, +/- metformin and spironolactone), can be successfully controlled and its potential complications (diabetes, metabolic syndrome, cardiovascular disease) prevented.
PCOS is chracterized by excess androgen (male hormone) production and hormonal imbalances, associated with cysts on the ovaries. Mnagament relies upon two main pillars:
Weight loss:
Improves many of the associated
endocrine derangements, including insulin resistance, and hyperandrogenism
(PCOS is characterized by elevated levels of androgens, or male sex hormones).
Modest weight reduction of 2% to 5% of total body weight has been shown to
improve cycle regularity. The most effective approach is based upon a
combination of caloric restriction, exercise, and behavior modification.
Effective treatment of hirsutism
in PCOS
Androgen
suppression:
Combination oral contraceptive pills
(OCPs) are first-line therapy for acne and hirsutism (excess hair especially in
areas of the body where we do not expect hair to grow heavily, like the face,
chest and back), because they safely diminish androgen production. In addition
to aesthetic benefits, OCPs regulate menstrual bleeding.
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.
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It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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