Polycystic Ovarian Syndrome
Polycystic ovarian syndrome (PCOS) is the most common female endocrine disorder, affecting 10% of women of reproductive age.
PCOS is associated with oligoovulation ( less ovulation, irregular menses), , infertility, acne, hirsutism ( facial hair) , hair loss and metabolic sequelae such as weight gain. Although genetics play a role, lifestyle factors have a significant influence on disease presentation and symptoms. Moreover, integrative strategies ranging from natural products to complementary therapies can provide adjuvant therapy to help women achieve their health goals.
Rotterdam criteria : Most expert groups use Rotterdam criteria to make the diagnosis of PCOS.
Two out of three of the following criteria are required to make the diagnosis
- Oligo- and/or anovulation ( less than 6 periods in a year or no periods)
- Clinical and/or biochemical signs of hyperandrogenism such as acne or facial hair and hair loss in the scalp ( androgenic alopecia) .
- Polycystic ovaries (by ultrasound) >12 follicles 2–9 mm or ovarian volume >10 mL
Many women with irregular menses and hyperandrogenic symptoms can be diagnosed based on history and physical exam alone. However, the diagnosis of PCOS is only confirmed when other conditions that mimic PCOS are excluded.
Women with PCOS are at higher risk for cardiovascular disease, insulin resistance, weight gain, sleep apnea, sexual dysfunction, eating disorder, fatty liver as well as mood disorder such as depression and anxiety.
In integrative medicine, we look at all organs and rule out other causes of these symptoms and then treat the issues by using different modalities.
