Doctor insights on:
Polycystic Ovarian Syndrome Uneven Breasts
Does hypothyroidism contribute to polycystic ovarian syndrome at all? I have both. Also I have hair around my areola on my breast. Is this normal?
Sometimes difficult.: Determining if you have PCOS can be a sometimes confusing and sometimes difficult process. The reason is that PCOS is a syndrome that means each person will have a different set of symptoms. These symptoms can include excess weight, fatigue, infertility, hormone imbalance, sleep apnea, excess facial or body hair, and a variety of skin problems.
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.See 1 more doctor answer
A metabolic disorder: 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 or high follicle numbers.See 1 more doctor answer
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.See 2 more doctor answers
PCOS: Do you have irregular cycles? If not, you do not have it. If you do see a doctor: you need blood testing and ultrasound to complete the diagnosis one way or another.See 1 more doctor answer
Genetic + lifestyle: Polycystic ovarian syndrome or pcos is a condition that shows irregular periods, excessive androgens (male hormones) and metabolic disorders (type 2 or gestational diabetes, abnormal BP and lipids, Insulin resistance syndrome, etc). There is a genetic component that cannot be changed. However pcos patients can make lifestyle change (weight loss, regular exercise) that will control effects of pcos.
NO: Not at all. Many are obese and tend to larger breasts
Increased Estrogen: Adipose tissue (fat) causes an increase in the circulation estrogen levels by converting androgen precursors into estrone. The increased estrogen level is detected by the pituitary, causing ovulation to be inhibited. That inhibition can result in an increase in the number of small cysts on the ovary - hence polycystic ovarian syndrome.
Decrease insulin res: 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.See 1 more doctor answer
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.See 1 more doctor answer
Low carbs and sugars: Patients with PCOS may have insuln resistance that causes weight gain. Diet changes such as low carbs and low sugars may help. Otherwise, using additional medications such as Glucophage (metformin) (nongeneric) assist in weight loss by assisting in breaking down sugars and will assist in Weight loss. Using Metformin which is generic may help but does have side effects and does not help as much as Glucophage (metformin).
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