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*Excess insulin. Insulin is the hormone produced in the pancreas that allows
cells to use sugar (glucose) your body's primary energy supply. If you have
insulin resistance, your ability to use insulin effectively is impaired, and your
pancreas has to secrete more insulin to make glucose available to cells.
Excess insulin might also affect the ovaries by increasing androgen
production, which may interfere with the ovaries' ability to ovulate.
*Low-grade inflammation. Your body's white blood cells produce substances
to fight infection in a response called inflammation. Research has shown that
women with PCOS have low-grade inflammation and that this type of lowgrade inflammation stimulates polycystic ovaries to produce androgens.
*Heredity. If your mother or sister has PCOS, you might have a greater
chance of having it, too. Researchers also are looking into the possibility that
certain genes are linked to PCOS.
**Symptoms**
Polycystic ovary syndrome signs and symptoms often begin soon after a
woman first begins having periods (menarche). In some cases, PCOS
develops later during the reproductive years, for instance, in response to
PCOS has many signs things you or your doctor can see or measure and
symptoms things that you notice or feel. All of these can worsen with
obesity. Every woman with PCOS may be affected a little differently.
To be diagnosed with the condition, your doctor looks for at least two of the
following:
During this process, you and your doctor will discuss your medical history,
including your menstrual periods, weight changes and other symptoms. Your
doctor may also perform certain tests and exams:
_Physical exam. During your physical exam, your doctor will note several key
pieces of information, including your height, weight and blood pressure.
_Pelvic exam. During a pelvic exam, your doctor visually and manually
inspects your reproductive organs for signs of masses, growths or other
abnormalities.
_Blood tests. Your blood may be drawn to measure the levels of several
Lifestyle changes
As a first step, your doctor may recommend weight loss through a low-calorie
diet combined with moderate exercise activities. Even a modest reduction in
your weight for instance, losing 5 percent of your body weight might
improve your condition.
Medications
Your doctor may prescribe a medication to:
_--Help you ovulate. If you're trying to become pregnant, you may need a
medication to help you ovulate. Clomiphene (Clomid, Serophene) is an oral
anti-estrogen medication that you take in the first part of your menstrual
cycle. If clomiphene alone isn't effective, your doctor may add metformin to
help induce ovulation.
If you don't become pregnant using clomiphene and metformin, your doctor
may recommend using gonadotropins follicle-stimulating hormone (FSH)
and luteinizing hormone (LH) medications that are administered by injection.
Another medication that your doctor may have you try is letrozole (Femara).
Doctors don't know exactly how letrozole works to stimulate the ovaries, but
it may help with ovulation when other medications fail.
When taking any type of medication to help you ovulate, it's important that
you work with a reproductive specialist and have regular ultrasounds to
monitor your progress and avoid problems.
---Reduce excessive hair growth. Your doctor may recommend birth control
pills to decrease androgen production, or another medication called
spironolactone (Aldactone) that blocks the effects of androgens on the skin.