Polycystic Ovary Syndrome: Far More Than Cysts
A metabolic and reproductive syndrome affecting 1 in 10 women.
Dr. Camille Ferraud
Endocrinologist
Two of three: irregular ovulation, clinical or biochemical hyperandrogenism, polycystic ovarian morphology on ultrasound — after excluding other causes.
Common features
Acne, hirsutism, scalp hair thinning, weight gain, insulin resistance, and difficulty conceiving.
Long-term risks
Type 2 diabetes, dyslipidaemia, sleep apnea and endometrial hyperplasia. Regular screening matters.
Treatment
- Lifestyle interventions remain foundational
- Combined oral contraceptives regulate cycles and reduce androgens
- Metformin for metabolic features
- Letrozole as first-line ovulation induction for fertility
PCOS is heterogeneous: treatment must be tailored to each woman's priorities.
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