Hello, I would be happy to help you today.
You are describing classic symptoms related to PCOS and you obviously express an understanding of the disease itself. Just to review, patients with PCOS present for the following reasons:
1. Irregular or absent cycles or bleeding
2. Excess male pattern hair growth
/ Inability to conceive
The “syndrome” involves the above symptoms, and the appearance of polycystic ovaries
. The ovaries have this appearance because patients are typically NOT ovulating in any predictable manner.
In terms of hormonal
changes and imbalances, PCOS is associated with “insulin
resistance” and excess androgens
. In terms of the workup, there needs to be consideration of other causes of ‘not-ovulating’ or anovulatory cycling. This would include:
1. Tests of thyroid function
2. Tests for diabetes
3. Labs related to androgen excess (there are other disease in addition to PCOS)
In terms of treatment, it is my experience that alternative therapies and herbal remedies just do not work. If you are not trying to get pregnant, then birth control pills will regulate your cycle and decrease androgen levels. If you are trying to get pregnant, then drugs to make you ovulate (clomid) or reduce your resistance to insulin (metformin
) are often needed. One drug used for decreasing androgen levels is called Spironolactone
I hope this helps. Good luck!!