Understanding PCOS: Causes, Symptoms, and Treatment Options

At Complete Healthcare for Women in Richland, WA, Dr. Richard Lorenzo, DO, and Kortney Jones, ARNP, specialize in diagnosing and managing PCOS, providing compassionate care tailored to each patient’s unique needs.

What is PCOS?

PCOS is a complex condition characterized by hormonal imbalances and metabolic issues that affect the ovaries. The name comes from the presence of small, fluid-filled sacs (cysts) on the ovaries, though not all women with PCOS have cysts. The exact cause of PCOS is unknown, but genetics, insulin resistance, and inflammation are believed to play significant roles.

Symptoms of PCOS

PCOS symptoms can vary widely, making it challenging to diagnose. Common symptoms include:

• Irregular Menstrual Cycles:
  Women with PCOS often experience infrequent, irregular, or prolonged menstrual periods.

• Excess Androgens:
  High levels of male hormones (androgens) can lead to symptoms such as acne, excessive facial and body hair (hirsutism), and thinning hair on the scalp.

• Polycystic Ovaries:
  Enlarged ovaries with multiple small cysts may be detected during an ultrasound.

• Weight Gain and Difficulty Losing Weight:
  Many women with PCOS struggle with weight management due to insulin resistance.

• Fertility Challenges:
  PCOS is one of the leading causes of infertility due to irregular ovulation.

• Mood Changes:
  Women with PCOS may experience anxiety, depression, or mood swings.

Health Risks Associated with PCOS

Untreated PCOS can increase the risk of several long-term health issues, including:

• Type 2 diabetes
• High blood pressure
• Heart disease
• Endometrial cancer
• Sleep apnea

It’s essential to address PCOS not only to manage symptoms but also to reduce the risk of these complications.

Diagnosing PCOS

At Complete Healthcare for Women, we use a comprehensive approach to diagnose PCOS. During your consultation, Dr. Lorenzo or Kortney Jones, ARNP, will:

1. Review your medical history and symptoms.
2. Perform a physical examination, including checking for signs of excess androgens.
3. Order blood tests to measure hormone levels and assess for other conditions.
4. Recommend an ultrasound to examine your ovaries and uterine lining.

A diagnosis of PCOS typically requires at least two of the following criteria: irregular periods, signs of excess androgens, and polycystic ovaries.

Treatment Options for PCOS

While there is no cure for PCOS, it can be effectively managed with a personalized treatment plan. Treatment focuses on addressing the individual’s symptoms and health goals:

1. Lifestyle Modifications:

   • A balanced diet and regular exercise can help manage weight, improve insulin sensitivity, and regulate menstrual cycles.
   • Losing even a small percentage of body weight can significantly improve symptoms.

2. Medications:

   • Hormonal Birth Control: Oral contraceptives or other hormonal therapies can regulate menstrual cycles and reduce androgen levels.
   • Metformin: This medication can improve insulin sensitivity and help regulate ovulation.
   • Fertility Treatments: For women trying to conceive, medications like clomiphene or letrozole can stimulate ovulation.
   • Anti-Androgen Medications: These can help reduce excessive hair growth and acne.

3. Procedures:
   In some cases, ovarian drilling (a minimally invasive procedure) may be recommended to restore ovulation.

4. Emotional Support:
   Addressing the emotional impact of PCOS is essential. Counseling or support groups can help women cope with the condition’s challenges.

Preventing and Managing PCOS Complications

Managing PCOS requires a proactive approach to health. Women with PCOS should:

• Schedule regular check-ups to monitor blood pressure, glucose levels, and cholesterol.
• Practice stress management techniques, such as mindfulness or yoga.
• Maintain a healthy weight through a balanced diet and regular physical activity.

Why Choose Complete Healthcare for Women?

At Complete Healthcare for Women, we understand the challenges women with PCOS face. Dr. Lorenzo and Kortney Jones, ARNP, offer comprehensive care to help you manage symptoms, improve your quality of life, and achieve your health goals. Our team is dedicated to providing individualized care in a supportive and compassionate environment.

When to Seek Help

If you’re experiencing symptoms of PCOS or struggling with irregular periods, excessive hair growth, or fertility challenges, don’t hesitate to reach out. Early diagnosis and treatment can make a significant difference in managing symptoms and preventing complications.

Take charge of your health with the expert care and support of Complete Healthcare for Women. Contact us today to schedule your consultation.

Complete Healthcare for Women - Obstetrics and Gynecology
509-392-6700
Richard Lorenzo, D.O.
Kortney Jones ARNP

Author

Richard Lorenzo, DO Dr. Lorenzo is a Fellow of the American Congress of Obstetricians and Gynecologists (ACOG) and the American College of Osteopathic Obstetricians and Gynecologists (ACOOG), reflecting his expertise in women’s health. He provides comprehensive gynecological and obstetric services, including prenatal care up to 20 weeks, infertility evaluations, and general gynecology. Dr. Lorenzo specializes in advanced surgical techniques, offering minimally invasive procedures for abnormal uterine bleeding, endometriosis, and hysterectomy, ensuring quicker recovery and minimal discomfort for his patients. He is highly trained in high-risk obstetrics and adept at performing minimally invasive hysterectomies, providing women with effective solutions tailored to their needs. At Complete Healthcare for Women in Richland, WA, Dr. Lorenzo prioritizes personalized, compassionate care, empowering women to make informed health decisions.