Polycystic Ovary Syndrome (PCOS)

Polycystic ovary syndrome is a condition that affects the way the ovaries work. It’s a very common condition, affecting up to 1 in 10 people in the UK, but more than half of those with PCOS will never experience any symptoms.

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What is polycystic ovary syndrome (PCOS)?

Polycystic ovary syndrome (PCOS) is a common hormonal condition that affects ovarian function. It can cause a varied range of symptoms, or none at all, and can also affect your fertility, making it more difficult to fall pregnant.

As well as being one of the most common causes of infertility in women and people assigned female at birth (AFAB), PCOS can also increase your risk of other health conditions including diabetes, high blood pressure and endometrial cancer, so it’s important to seek diagnosis and treatment as soon as you can.

What causes PCOS?

The exact cause of PCOS isn’t clear, but the condition sometimes runs in families. Several other factors are also known to contribute to an increased risk of having PCOS, including: 

  • high levels of androgens (male hormones)
  • insulin resistance (high insulin levels)
  • being overweight or obese 
  • low-grade inflammation (high levels of C-reactive protein and white blood cells)

What are the symptoms of PCOS?

The symptoms of PCOS vary from person to person, and some people will experience severe symptoms, some may have a few mild symptoms, and others will have no symptoms at all. 

The most common signs and symptoms that can indicate PCOS are:

What are PCOS tests and how is PCOS diagnosed?

A diagnosis of PCOS can usually be made if you experience at least 2 of the following 3 symptoms:

  • irregular periods or infrequent periods – this suggests that you’re not ovulating regularly
  • you have high levels of androgens that cause related symptoms such as excess facial or body hair – this can be detected clinically and/or through blood testing
  • an ultrasound scan has shown that you have cysts on your ovaries – this is where the egg-containing follicles along the outer edges of the ovaries have developed abnormally and fail to regularly release eggs

What are the three tests for PCOS?

  • physical examination: where you may be checked for increased body and facial hair, thinning scalp hair, acne, and other symptoms of increased androgen levels. The doctor or specialist will also ask about your medical history, including the regularity of your menstrual cycle
  • blood tests: Common checks in blood levels are carried out in the androgens, including testosterone, which tends to be higher in women with PCOS. Insulin levels may also be tested, which are usually elevated in women with the condition
  • pelvic ultrasound: This may also be recommended to look for ovarian cysts

What are the treatment options for PCOS?

PCOS cannot be cured or reversed, but there’s a lot that can be done to reduce and mitigate your symptoms to improve your overall health and fertility.

At OneWelbeck, our consultant endocrinologists will perform a detailed assessment of your symptoms and develop a personalised management plan to suit you and your needs. This could include contraceptive pills, medications to target certain symptoms, lifestyle changes or surgery.

For more information, Professor Maralyn Druce, takes a closer look at the condition.


Why choose Welbeck?

At Welbeck, our gynaecologists are experts in their field and are dedicated to providing world-class care to every patient.

With access to colleagues across other specialities, our consultants are also able to refer within the Welbeck ecosystem if needed to ensure you receive the best possible treatment as quickly as possible, all under one roof.  

All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.

Book your private consultation

Get in touch today to book an appointment. Your health is important to us, so we strive to offer same-day appointments whenever possible.

Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.

FAQs

Can you get pregnant with PCOS?

Yes, it’s absolutely possible to get pregnant if you have PCOS. The condition can make conceiving more challenging for some women, but there are many non-invasive treatment options available to help boost the chances of having a baby.

What are the complications of PCOS?

If left untreated, PCOS can lead to health complications including infertility, cardiovascular disease (CVD), diabetes, sleep apnoea, psychological disorders, pregnancy complications, cancer and non-alcoholic fatty liver disease (NAFLD).

Can PCOS affect my mental health?

Yes, PCOS can impact your mental health. Recent studies have found that those with the condition are 4 to 7 times more likely to suffer from depression and anxiety, and 3 to 6 times more likely to experience disordered eating. For most people, symptoms like excess facial hair and acne can also cause low self-esteem and confidence, really impacting their relationships and quality of life.

What’s the difference between polycystic ovary syndrome and polycystic ovaries?

It’s possible to have polycystic ovarian morphology (PCOM) on ultrasound, but not have PCOS. PCOM describes ovaries that contain a larger number of small, undeveloped follicles. These fluid-filled sacs hold immature eggs and do not cause pelvic pain. Despite the name, PCOM is not cysts at all. PCOM is a completely normal feature in all teenagers within 8 years of menarche (the very first period appearing with puberty) and this is why ultrasound cannot diagnose PCOS until 8 years after menarche). PCOM can also be found in various hormonal conditions.

PCOS is a hormonal condition that may sometimes show PCOM features. Having PCOM does not diagnose PCOS, as it is not a reliable and consistent finding of PCOS. Diagnosis of PCOS should be confirmed by a specialist to allow for safe and effective treatment of symptoms and to improve overall health.

Polycystic Ovary Syndrome (PCOS) Specialists

We have brought together a group of leading Consultant Endocrinologists to form our Endocrinology team. With a huge depth of experience covering diabetes, adrenal disorders, metabolic syndrome and much more, these expert clinicians are the best in their field and are all focused on delivering the very best patient care.