Polycystic Ovary Syndrome: Symptoms, Causes, and Treatment Options

PCOS is a common hormonal disorder in women of reproductive age, affecting menstrual cycles, fertility, and increasing risks like obesity and insulin resistance, with various treatment options depending on needs.

  Tue , November 25 2025 / 02:59 PM Updated At: 2025-11-25 14:59:33

متلازمة تكيس المبايض وأعراضها وخيارات العلاج

Polycystic Ovary Syndrome (PCOS) occurs when the ovaries produce excess hormones, including androgens, disrupting the hormonal balance in women.

  • Irregular or absent menstrual cycles.

  • Anovulation leading to difficulty conceiving.

  • Small ovarian cysts with immature eggs.

Age and Prevalence

  • Usually appears after puberty, often diagnosed in women in their 20s or 30s.

  • Risk increases with obesity or family history.

  • Affects up to 15% of women of reproductive age, making it a common cause of infertility.

Symptoms of PCOS

  • Irregular menstruation: missed or heavy bleeding.

  • Excess hair growth (hirsutism) on face, chest, abdomen, or arms.

  • Persistent acne after adolescence.

  • Obesity and difficulty maintaining healthy weight.

  • Darkened skin patches (acanthosis nigricans) on neck, armpits, or under breasts.

  • Ovarian cysts visible on ultrasound.

  • Thinning hair or partial baldness.

  • Infertility due to irregular ovulation.

PCOS may occur without visible symptoms and may only be discovered when fertility issues arise.

Causes of PCOS

  • High androgen levels: inhibit ovulation, cause acne and excess hair.

  • Insulin resistance: increases androgen production, negatively affects ovulation.

  • Low-grade chronic inflammation: raises cardiovascular risks.

Treatment of PCOS

If not planning pregnancy:

  • Hormonal contraceptives to regulate cycles and control acne and excess hair.

  • Insulin-sensitizing medications.

  • Anti-androgen medications.

  • Lifestyle changes: balanced diet and regular exercise.

If planning pregnancy:

  • Ovulation induction medications or hormonal injections.

  • Limited ovarian surgery to remove androgen-producing tissue (rare).

  • IVF if medications fail to stimulate ovulation.

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