Dx: Polycystic Ovarian Syndrome

A few days ago I was diagnosed with an endocrine disorder known as Polycystic Ovarian Syndrome also known as PCOS for short. PCOS is characterized by abnormal, or absent menstrual cycles. Certain clinical features of PCOS are

1)Oligomenorrhea/Amenhorrea
2) Infertility/ First trimester pregnancy
3) Obesity
4) Acne
5) Hirsutism (excessive hair growth on the face, chest, or abdomen)
6) Polycystic Ovaries

10% of women suffer from this disorder and many will not have the same symptoms. Some like myself may have more milder symptoms  of PCOS than others. To properly diagnose PCOS providers must take a detailed medical history and physical examination to look for other signs of this disorder. In many cases a pelvic ultrasound can be helpful in evaluating PCOS. Women with PCOS will have enlarged ovaries and approximately 12 or more cysts located in one or both ovaries, measuring 2-9 mm.


I know what you're thinking: Aren't ovarian cysts common, what's the big deal? You're right ovarian cysts are common among women of reproductive age, however twelve or more ovarian cysts is an indicator for irregular menstrual cycles and hormone imbalance. As a result, it can have a huge effect on your personal life mentally, physically, and emotionally.

As an endocrine disorder, your  provider must perform a blood screening test to make sure all your hormones are at normal ranges. Follicle Stimulating Hormone (FSH) and Lutenizing Hormone (LH) are hormones that encourage ovulation. Normally for ovulation to occur, primary follicles mature and develop into an egg capable of being fertilized. Usually women with PCOS have an LH level of ~18mIU/ml and FSH level of ~6mIU/ml. This elevated LH to FSH ratio is enough to disrupt the process of ovulation, resulting in the formation of immature follicles that remain in the ovary and are not released.

Treatment options depend on the severity of PCOS symptoms. If you are like me and noticed something slightly off with your body, do not ignore the signs and make an appointment with your primary care provider or specialist. I will be following up with a specialist most likely in the next few weeks. I am both nervous and excited because I knew something wasn't right with my body and I'm finally going to get the help I need!