I think i may have PCOS..what now?!


Question:

I think i may have PCOS..what now?

Hi,
I'm 27 and think i may have PCOS. I have been breaking out with acne lately, have excess hair on chin and side of face. I am of a normal weight and periods are regular but light. Does this sound like PCOS? i'm concerned about fertility. Although i'm not trying for a family i will one day, is this reversible or treatable before it gets worse??? PLEASE HELP!
I'm in eastern suburbs of Sydney anyone know of a good dr?
Thanks!


Answers:

First of, it's not the cysts that cause hair growth and pimples, but it is excess androgen (male hormone) that causes BOTH hair growth, pimples and cysts. So, only the fact that you have hair growth and skin problems does not mean that you have PCOS. However, if your androgen is high, you are more prone to PCOS. Your current problems might mean that your androgen is high. I am not from Australia, but you really don't need the best doctor to get you tested for hormones. Just go to regular GYN and request full hormonal test. The only way to know if you have cysts is if you have very painful ovulation and periods, or one of your ovaries hurts for no reason. In this case go to your GYN again and request ultrasound of ovaries. If you are scared of cysts so much, you can even have that ultrasound now (just tell your doctor that you have painful periods and would like an ultrasound of ovaries, and she will refer you to it with no problem). It your blood test shows that you have raised androgen, your doctor will probably recommend birth control pill. This regulates your hormones. After getting off the pill you will have much higher chances to get pregnant. And don't worry about your fertility - only in most severe cases of PCOS women have difficult time to get pregnant. I am asuming you are not the case - since you didn't mention pain in your ovaries. To protect it from getting worse you will probably need to be on the pill (birth control and/or androgen inhibitor) for a while.




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