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PCOS: A Guide to Its Types and Treatments

PCOS: A Guide to Its Types and Treatments
IVF
11 Dec 2024

Unlocking the Mystery of PCOS: A Closer Look at Its Varieties

Polycystic Ovary Syndrome, or PCOS, is a hormonal disorder with symptoms manifesting in the ovaries and more dramatically affecting women of reproductive age. It is observed in females who suffer from irregular menstrual cycles, high levels of androgen, and sometimes, multiple cysts in the ovaries. PCOS greatly affects the health of a woman through multiple symptoms ranging from weight gain to infertility and metabolic issues. It is essential to classify the types because correct diagnosis guides healthcare providers to adapt treatment in a coordinated manner. They pose an individual problem, such as insulin-resistant, inflammatory, and postpill types, and require more distinct management. The differences in PCOS may better direct women on how to manage their health. Perhaps more effective interventions will benefit them in their general well-being. Unlocking the mystery of PCOS unlocks the door to informed decision-making and empowered health choices.

Understanding PCOS

Women who have Polycystic Ovary Syndrome suffer from a hormonal condition in their reproductive years. It is characterised by common symptoms such as irregular menstrual cycles, elevated levels of androgen, and polycystic ovaries. Characteristic symptoms include abdominal obesity, acne, hirsutism, loss of hair, and even infertility.

PCOS is one of the major endocrine disorders among women and affects approximately 10-15 per cent of women worldwide. Most cases go undiagnosed, and people are not aware of their condition. The findings of various research studies indicate that women suffering from PCOS are at an elevated risk of cardiovascular disease, endometrial cancer, and type 2 diabetes cancers. Increased knowledge of PCOS has the potential for better management and improvement of life quality in patients affected by this condition.

Different types of PCOS

Insulin-Resistant PCOS

Insulin-resistant PCOS is characterised by elevated insulin levels; features of this condition include weight gain, irregular periods, and overproduction of hair, and it leads to a propensity to progress to diabetes in later life. Lifestyle interventions, such as diet restriction, exercise, and medication with drugs like metformin, are helpful in controlling symptoms.

Inflammatory PCOS

Inflammatory PCOS is chronic inflammation that may cause elevation and disturbances in hormone levels. This may include symptoms like acne, weight gain, and irregular cycles. It accelerates the resistance to insulin; treatments such as changes in diet-mostly anti-inflammatory foods and reduction of sugar-with antioxidants can help with the management of this type of PCOS.

Post-Pill PCOS

Post-pill PCOS is observed when the hormonal contraceptive is stopped, menstruation becomes irregular and hormonal balances are disrupted. A lady may present with features such as acne and alopecia. Treatment will be a gradual resumption of cyclic control through lifestyle adjustments and sometimes with hormonal interventions.

Adrenal PCOS

Adrenal PCOS occurs when the adrenal glands produce excess amounts of androgens, producing symptoms like hirsutism and irregular menses. The stress response is perhaps more active in this type. Treatment may consist of adrenal-supportive supplements, lifestyle alterations, and prescription medications for hormones to manage unwanted symptoms.

Non-Classical Congenital Adrenal Hyperplasia (CAH)

Non-classical CAH is a form of PCOS resulting from an enzymatic deficiency caused by a genetic reason, and the enzymes are involved in the production of hormones in the adrenal. Symptoms may include early puberty or irregular periods. Treating the symptoms is different from the other types of PCOS, where corticosteroids can be used: these control hormone levels and rid a patient of their symptoms.

Impact of PCOS on Fertility

Each of these PCOS types can seriously impact a woman's fertility. In the case of insulin-resistant PCOS, ovulation is disrupted, which, again, will prevent conception and increase the chances for miscarriage. Inflammatory PCOS suppresses normal body hormonal functions, leading to abnormal irregularities in ovulation and causing reduced fertility. If the PCOS is due to post-pill PCOS, hormonal balance will take a considerable amount of time to return, hence rendering it hard for the woman to regain her regular cycles. This creates difficult situations in family planning. The level of androgen caused by adrenal PCOS can suppress ovulation. Lastly, non-classical CAH results in irregular hormone levels, which also reduces fertility. Early diagnosis and proper treatment of PCOS improve fertility odds and allow a woman the chance to manage her condition before trying to conceive. Diverse types of PCOS can be treated, with women actively working to optimise their reproductive health and maximise the possible opportunity for successful conception.

About Millennium Medical Centre

A specific fertility treatment protocol for women with PCOS is offered at Millennium Medical Centre (MMCIVF). Suitable forms of fertility treatment based on need may include IVF, IVF Lite, ICSI, and IUI, which were designed to increase the chances of conception. Additionally, Ovulation Induction stimulates cycles and induces ovulation. For those patients who suffer from recurrent miscarriage, our Recurrent Miscarriage Screening** helps us find the underlying problems. We assure our patients that the selection of healthy embryos with an excellent success rate through our Preimplantation Genetic Diagnosis (PGD). Psychiatry consultations are also available to take care of their mental well-being throughout the fertility journey. We encourage our patients who have PCOS to see our fertility specialists at MMCIVF for a tailored approach. Bring your complex situation to us, and let us bring our creativity and innovative treatments to help you achieve your family's dreams.

Empowering Women with Knowledge and Care

Understanding the type of Polycystic Ovary Syndrome allows for easier management and improved health for fertility. Every type handles differently, but with the proper knowledge and support, women can better manage their symptoms and make informed decisions concerning their reproductive journeys.

At Millennium Medical Centre (MMCIVF), we empower women with all the care and expertise they need for proper management of PCOS. Each patient is provided with fertility solutions customized for that individual person so that treatment plans meeting their needs can be prescribed for them. We welcome you to the MMCIVF family and schedule a consultation with MMCIVF fertility specialists as work begins towards fulfilling your family dreams and optimal reproductive health. Your journey to empowerment begins with us.

FAQs

Q: Does PCOS have a cure?

A: PCOS is not curable but may be treated with lifestyle modifications and medication. Current research is still in the process of developing further options for treatment.

Q: How is PCOS diagnosed?

A: The diagnosis of PCOS includes ultrasonography imaging, blood testing for hormone levels, physical examination, and medical history for the ovaries.

Q: How can lifestyle modifications help with treating PCOS?

A: Dietary changes, exercise, and stress management such as mindfulness and yoga have been shown to influence the hormonal balance in the body.

Q: Does PCOS create a cycle of infertility?

A: Yes, PCOS causes ovulation; hence, it is very difficult to become pregnant. Other treatments such as IVF, IUI and ovulation induction help in fertility outcomes.

Ready to take next step?

Schedule a consultation with our expert team at MMC IVF. We are here to provide personalized care and support.