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Doctor insights on: Glucophage Polycystic Ovarian Syndrome

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What is polycystic ovarian syndrome (pcos)?

What is polycystic ovarian syndrome (pcos)?

Dx of exclusion: Pcos is a DX of exclusion where a female has hyperandrogenism and oligo/amenorrhea in the absence of another endocrine disorder like androgen secreting tumor, cushing's syndrome, cah, etc. Most females are Insulin resistant as well. Depending on which criteria you look at, ovarian cysts don't necessarily have to be part of the diagnosis. Pcos is a very old term and somewhat outdated. ...Read more

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Dr. Dennis Higginbotham
1,251 doctors shared insights

Polycystic Ovarian Syndrome (Definition)

Pcos is a metabolic disorder affecting 8-10% of women that may cause irregular periods, acne or increased hair growth, infertility or subfertility, and increases the risk of diabetes. To diagnose pcos, we need 2 out of 3 of: 1. Irregular or no periods 2. Acne, hair growth and/or blood tests showing too much male-type hormones (androgens) 3. Ultrasound showing large ovaries ...Read more


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What is polycystic ovarian syndrome?

What is polycystic ovarian syndrome?

Hormone imbalance: Pcos is an imbalance in hormones that can cause irregular periods, acne, excess hair, and infertility. Blood tests can determine if your pcos is from an imbalance in pituitary hormones (lh & fsh), adrenal hormones (dheas), or Insulin resistance. Some doctors recommend a pelvic ultrasound to assess the ovaries to look for cysts. ...Read more

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Could polycystic ovarian syndrome without ovarian cysts?

Could polycystic ovarian syndrome without ovarian cysts?

No.: Ovaries having cysts is part of the syndrome. There are some medical conditions that can mimic some of the symptoms of PCOS, such as metabolic syndrome. A complete history and workup would aid in identifying this. ...Read more

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Can polycystic ovaries develop into polycystic ovary syndrome?

Can polycystic ovaries develop into polycystic ovary syndrome?

Sort of: Polycystic ovaries is a finding on ultrasound where there are lots of small follicles on the ovaries. Pcos is where you have some combination (depending on which criteria your doctor uses) of pco looking ovaries, ovulation problems and symptoms of producing too much male hormone. Many but not all women with pcos have pco looking ovaries and many women with pco ovaries have the syndrome. ...Read more

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Is polycystic ovary syndrome treatable?

Is polycystic ovary syndrome treatable?

Somewhat: Hi. Standard treatments for PCOS include BCPs with a low-androgenic progestin, metformin, and spironolactone in various combinations. PCOS increases type 2 diabetes risk, and metformin helps with that too. When fertility is desired, in addition to stopping BCPs, an agent such as clomiphene may be needed as well. As the underlying cause(s) is/are incompletely understood, we still have a way to go. ...Read more

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What is polycystic ovary syndrome?

What is polycystic ovary syndrome?

Mixed bag: Pcos is a constellation of findings which includes irregular periods, elevated testosterone or testosterone like hormones (with no other cause), resistance to Insulin (predisposition to type 2 diabetes), problems with lipids, many times unwanted face and body hair, sometimes scalp hair loss. Ovarian cysts may or may not be found. Pcos is an outdated term but no better one has been agreed upon. ...Read more

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Symptoms of polycystic ovarian syndrome?

Symptoms of polycystic ovarian syndrome?

Irregular cycles ...: Most women with pcos have one or more of: irregular periods or no cycles, acne, oily skin, unwanted hair growth especially on the face or lower stomach, infertility or subfertility (difficulty getting pregnant). Some women with pcos have little or no symptoms - we look at symptoms, blood tests and an ultrasound of the ovaries to make the diagnosis. Not all women with pcos have fertility issues. ...Read more

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Polycystic ovarian syndrome (pcos) and hirsuitismplease help?

Polycystic ovarian syndrome (pcos) and hirsuitismplease help?

PCOS: Pcos is generally best treated by a board certified reproductive endocrinologist. He/she should have gone through special training in the diagnosis and treatment of pcos. ...Read more

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Can polycystic ovarian syndrome cause?

Can polycystic ovarian syndrome cause?

Insulin resistance: May cause over-secretion of insulin, called Insulin resistance; may cause vascular, early cardiac signs, and hyperandronization (hirsutism, acne and hair ,loss), thereby also causing increased appetite for carbohydrates and obesity. ...Read more

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What is pcos polycystic ovary disease?

What is pcos polycystic ovary disease?

Hormonal imbalance: Pcos is caused by high estrogen combined with high Insulin which then transforms estrogen into testosterone. The high estrogen leads to excess growth of follicles and the elevated testosterone leads to abnormal hair growth a low carbohydrate diet is needed. Also iodine deficiency can contribute to this problem. ...Read more

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Whats polycystic ovarian disease (pcos)?

Insulin and ovaries: Pcos is a manifestation of Insulin resistance, which indicates pre-diabetes or diabetes 2.There are many derangments including those of adrenal androgen, a higher free testosterone, eradication of/or irregular cycles.Hirsuitism and acne increase with these androgens. A woman's cycle becomes annovulatory. Glucophage (metformin) is the preferred treatment of the problem. Clomiphene is used to help ovulation. ...Read more

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Is polycystic ovary syndrome related to polycystic kidney disease?

Is polycystic ovary syndrome related to polycystic kidney disease?

Totally unrelated: Apart from the word connection these are totally unrelated conditions. Having 1 does not lead to the other. Polycystic ovarian syndrome (pcos) is a complex disorder affecting the ovaries which may cause irregular cycles, fertility or metabolic problems. Polycystic kidney disease is genetic disorder and comes in two versions, both causing kidney problems, which may end in kidney failure / dialysis. ...Read more

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Whats olycystic ovarian disease?

Whats olycystic ovarian disease?

Insulin and ovaries: Pcos is a manifestation of Insulin resistance, which indicates pre-diabetes or diabetes 2.There are many derangments including those of adrenal androgen, a higher free testosterone, eradication of/or irregular cycles.Hirsuitism and acne increase with these androgens. A woman's cycle becomes annovulatory. Glucophage (metformin) is the preferred treatment of the problem. Clomiphene is used to help ovulation. ...Read more

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Characteristics of polycystic ovarian syndrome ?

Characteristics of polycystic ovarian syndrome ?

In general: In general, characteristics include irregular or absent menstruation, unwanted male hormone excess like acne or hair growth, weight gain, and little cysts on the ovaries seen on ultrasound scan. I hope this helps! ...Read more

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Is polycystic ovary disease a syndrome?

Is polycystic ovary disease a syndrome?

Yes: Pcos is also called stein leventhal syndrome. Strangely, you don;t have to have ovarian cysts to have this disease. Symptoms include lots of things including acne, excessive hair growth, obesity and infertility. ...Read more

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Polycystic ovaries treatment?

Polycystic ovaries treatment?

BCP or Fert Drugs: Pcos is an ovarian dysfunction. If you are not trying to pregnant the treatment of choice is the birth control pill. If you are trying to get pregnant we use fertility drugs, but it varies as to how a patient responds to these medications. The "fertility drug" is actually stimulating the ovary to ovulate.The first drug we use is clomid, (clomiphene) but it has to be used in higher dosages than normal ...Read more

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Are the women with polycystic ovarian syndrome fertile?

PCOS & Fertilty: Pcos is a disorder with infrequent ovulation as a hallmark. Because ovulation occurs at times, some women will get pregnant without help. If you need help with medication then medication is very successful. The success rate is lower than you might think and at ivf we often find poor egg quality as the likely cause. If you are overweight, then get as close to nl as possible. See a fertility doc. ...Read more

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Polycystic ovarian syndrome (pcos) and hirsuitism. What can help?

Polycystic ovarian syndrome (pcos) and hirsuitism. What can help?

Varies: Many women improve by using ocp's for cycle control and ovarian suppression - this gradually decreases the elevated testosterone that cause the hirsuitism.. There are also medications that can block the elevated testosterone and minimize the progression of the hirsuitism. ...Read more

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Can complex ovarian cysts cause polycystic ovarian disease?

Can complex ovarian cysts cause polycystic ovarian disease?

No: The term complex ovarian cyst indicates that an imaging study, usually ultrasound, shows a cyst with internal echoes, septation, or irregular or thickened cyst walls. They should be aggressively investigated as some of these cysts may be cancerous. Polycystic ovaries are usually enlarged and contain multiple small cysts just under the surface of the ovary. They mainly produce hormone imbalances. ...Read more

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What exactly is polycystic ovary syndrome?

What exactly is polycystic ovary syndrome?

A hormone disorder: Pcos is a syndrome or disorder in which women have 2 of 3 of the following: irregular cycles, multi-cystic ovaries, or excess androgens ("male" hormone levels). Pcos has no specific cause but it is associated with obesity, some heredity, and Insulin resistance (also seen in type 2 diabetes). Treatment can help with ovulation, fertility and cosmetics. Hope this helps. ...Read more

Dr. David Sneid
1,049 doctors shared insights

Metformin (Definition)

That reduces liver production of glucose- other benefits: can't cause low blood sugar when used alone, likely cariovascular benefit, may reduce complications of diabetes, may reduce cancer risk ...Read more


Dr. Walter Futterweit
700 doctors shared insights

Glucophage (Definition)

Glucophage is a diabetes-related agent which is a kind of ...Read more